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NPI Code Detail

MEDICARE: MICHAEL T LAMA MD PLLC

MEDICARE: MICHAEL T LAMA MD PLLC
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
1174400000XSpecialistME118796FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME118796OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1215339833
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL T LAMA MD PLLC
Provider Business Mailing Address
First Line : 4135 HOLLAND DR
Second Line :
City : ST PETE BEACH
State : FL
Zip : 33706-2642
Country : US
Telephone Number : 727-938-8806
Fax Number : 727-934-6370
Provider Business Practice Location Address
First Line : 2680 HUNT RD
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34688-7335
Country : US
Telephone Number : 727-938-8806
Fax Number : 727-934-6370
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL THOMAS LAMA
Credential : M.D.
Telephone Number : 727-938-8806
Provider Enumeration Date : 09/26/2014
Last Update Date : 09/26/2014

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