# THEODORE T LAMOTTA, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821181348
- **Authorized official:** DR. THEODORE T LAMOTTA M.D (PRESIDENT)
- **Authorized official phone:** (561) 392-6700

## Contact information

- **Practice address:** 3900 NW 79 AVE, SUITE 728, DORAL, FL 33166-6551
- **Practice address phone:** (305) 436-1066
- **Mailing address:** 9173 SE DEERBERRY PLACE, JUPITER, FL 33469-1805
- **Mailing address phone:** (561) 392-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME93274 | FL | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020