Healthcare Provider Details

I. General information

NPI: 1467573287
Provider Name (Legal Business Name): BELLEITHA MARJORIE LAMBKIN-ALEXANDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5589 OKEECHOBEE BLVD STE 102
WEST PALM BEACH FL
33417-4486
US

IV. Provider business mailing address

1920 PALM BEACH LAKES BLVD STE 201
WEST PALM BEACH FL
33409-3506
US

V. Phone/Fax

Practice location:
  • Phone: 561-509-5009
  • Fax: 561-471-4278
Mailing address:
  • Phone: 561-509-5009
  • Fax: 561-738-1822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME75896
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: