Healthcare Provider Details

I. General information

NPI: 1982276051
Provider Name (Legal Business Name): LAMBIRIS PLASTIC SURGERY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2021
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2677 S TAMIAMI TRL STE 3
SARASOTA FL
34239-4500
US

IV. Provider business mailing address

2677 S TAMIAMI TRL STE 3
SARASOTA FL
34239-4500
US

V. Phone/Fax

Practice location:
  • Phone: 941-366-9818
  • Fax: 941-955-4914
Mailing address:
  • Phone: 941-366-9818
  • Fax: 941-955-4914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: BRANDON ANDREAS LAMBIRIS
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 941-366-9818