MEDICARE: TEOFILO LAMA MD PA

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	2086S0102X	Surgical Critical Care Physician	01082970A	IN
2	2086S0127X	Trauma Surgery Physician	88400	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

General Provider Information

NPI Number	:	1902946247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEOFILO LAMA MD PA

Provider Business Mailing Address
First Line	:	3375 BURNS ROAD
Second Line	:	SUITE 206
City	:	PALM BEACH GARDENS
State	:	DC
Zip	:	33410-4361
Country	:	US
Telephone Number	:	561-799-9559
Fax Number	:	561-799-9577

Provider Business Practice Location Address
First Line	:	3375 BURNS ROAD
Second Line	:	SUITE 206
City	:	PALM BEACH GARDENS
State	:	DC
Zip	:	33410-4361
Country	:	US
Telephone Number	:	561-799-9559
Fax Number	:	561-799-9577

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	10/08/2019

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Directions to “ TEOFILO LAMA MD PA” Practice Location

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