MEDICARE: MICHAEL T LEMONT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	ME89576	FL

General Provider Information

NPI Number	:	1194710954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL T LEMONT MD

Provider Business Mailing Address
First Line	:	3418 NE 210TH LN
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-3575
Country	:	US
Telephone Number	:	305-835-7045
Fax Number	:	305-836-2359

Provider Business Practice Location Address
First Line	:	1190 NW 95TH ST
Second Line	:	SUITE 207
City	:	MIAMI
State	:	FL
Zip	:	33150-2063
Country	:	US
Telephone Number	:	305-835-7045
Fax Number	:	305-836-2359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	07/08/2007

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