Healthcare Provider Details
I. General information
NPI: 1457327421
Provider Name (Legal Business Name): LAMA TOLAYMAT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/28/2006
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7421 CONROY WINDERMERE RD
ORLANDO FL
32835-2758
US
IV. Provider business mailing address
7421 CONROY WINDERMERE RD
ORLANDO FL
32835-2758
US
V. Phone/Fax
- Phone: 407-378-5970
- Fax: 407-757-0999
- Phone: 407-378-5970
- Fax: 407-757-0999
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME72830 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | ME72830 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: