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General NPI Number Information
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NPI Number | 1871020297
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Entity Type | Individual
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Provider Name | JEFFREY DOUGLAS LAMAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2017
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1651 SE TIFFANY AVE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-7564
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Country | US
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Telephone | 772-398-1800
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Fax | 772-398-1825
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Provider Business Mailing Address
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Address Line | 1784 SW OAKWATER PT
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City | PALM CITY
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State | FL
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Zip | 34990-7752
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Country | US
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Telephone | 407-670-9061
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME143716
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License Number State | FL
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