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NPI Code Detail

MEDICARE: THOMAS RICHARD LEMASTER M.D.

MEDICARE: THOMAS RICHARD LEMASTER M.D.
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
1207P00000XEmergency Medicine PhysicianME161875FL

Other Identifiers

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

General Provider Information

NPI Number : 1669001483
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS RICHARD LEMASTER M.D.
Provider Business Mailing Address
First Line : 2388 CHANTILLY TER
Second Line :
City : OVIEDO
State : FL
Zip : 32765-8604
Country : US
Telephone Number : 850-218-9787
Fax Number :
Provider Business Practice Location Address
First Line : 200 N LAKEMONT AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-3273
Country : US
Telephone Number : 407-646-7321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2020
Last Update Date : 08/30/2023

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