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General NPI Number Information
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NPI Number | 1205465960
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Entity Type | Individual
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Provider Name | EVER ALFREDO MACEO LAM MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2020
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1190 37TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-6507
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Country | US
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Telephone | 772-567-4311
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Fax |
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Provider Business Mailing Address
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Address Line | 7208 N GRADY AVE
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City | TAMPA
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State | FL
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Zip | 33614-2625
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Country | US
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Telephone | 863-670-3324
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME166538
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License Number State | FL
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