MEDICARE: LAMBIRIS PLASTIC SURGERY, PLLC

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	2086S0122X	Plastic and Reconstructive Surgery Physician

General Provider Information

NPI Number	:	1982276051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAMBIRIS PLASTIC SURGERY, PLLC

Provider Business Mailing Address
First Line	:	2677 S TAMIAMI TRL STE 3
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-4500
Country	:	US
Telephone Number	:	941-366-9818
Fax Number	:	941-955-4914

Provider Business Practice Location Address
First Line	:	2677 S TAMIAMI TRL STE 3
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-4500
Country	:	US
Telephone Number	:	941-366-9818
Fax Number	:	941-955-4914

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	BRANDON ANDREAS LAMBIRIS
Credential	:	MD
Telephone Number	:	941-366-9818

Provider Enumeration Date	:	07/16/2021
Last Update Date	:	07/16/2021

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