MEDICARE: DR. LAMA TOLAYMAT 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	207V00000X	Obstetrics & Gynecology Physician	ME72830	FL
2	207VM0101X	Maternal & Fetal Medicine Physician	ME72830	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457327421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAMA TOLAYMAT MD

Provider Business Mailing Address
First Line	:	7421 CONROY WINDERMERE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2758
Country	:	US
Telephone Number	:	407-378-5970
Fax Number	:	407-757-0999

Provider Business Practice Location Address
First Line	:	7421 CONROY WINDERMERE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2758
Country	:	US
Telephone Number	:	407-378-5970
Fax Number	:	407-757-0999

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

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	01/30/2025

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