MEDICARE: MICHAEL LOTFI 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	207RN0300X	Nephrology Physician	ME75515	FL

General Provider Information

NPI Number	:	1811994296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL LOTFI M.D.

Provider Business Mailing Address
First Line	:	5305 GREENWOOD AVE STE 102
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2448
Country	:	US
Telephone Number	:	561-840-7779
Fax Number	:	561-840-7997

Provider Business Practice Location Address
First Line	:	5305 GREENWOOD AVE STE 102
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2448
Country	:	US
Telephone Number	:	561-840-7779
Fax Number	:	561-840-7997

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	06/28/2023

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