Healthcare Provider Details

I. General information

NPI: 1144668229
Provider Name (Legal Business Name): REYNALD ROGER LAMARRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 S STATE ROAD 7
WELLINGTON FL
33414-4385
US

IV. Provider business mailing address

125 S STATE ROAD 7
WELLINGTON FL
33414-4385
US

V. Phone/Fax

Practice location:
  • Phone: 561-468-3034
  • Fax: 561-979-0330
Mailing address:
  • Phone: 561-468-3034
  • Fax: 561-979-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME128802
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME128802
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: