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Individual
MR. GREGORY EDWARD LAMENDOLA
Active
Individual
MR. GREGORY EDWARD LAMENDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIANS ASST C
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA101919
FL
208800000X
Urology Physician
PA101919
FL
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2911833300
—
FL
Enumeration date
08/31/2006
Last updated
03/17/2021
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