MEDICARE: ANTHONY LAMARCA 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
1	207Q00000X	Family Medicine Physician	33473	FL

General Provider Information

NPI Number	:	1760606669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY LAMARCA M.D.

Provider Business Mailing Address
First Line	:	4011 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-5528
Country	:	US
Telephone Number	:	954-564-4222
Fax Number	:	954-564-4326

Provider Business Practice Location Address
First Line	:	4011 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-5528
Country	:	US
Telephone Number	:	954-564-4222
Fax Number	:	954-564-4326

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	07/08/2007

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