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Individual

DR. JOSHUA LOTFALLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1090 S TAMIAMI TRL, SARASOTA, FL 34236-9116
(941) 363-0878
(716) 242-3360
Mailing address
1090 S TAMIAMI TRL, SARASOTA, FL 34236-9116
(941) 363-0878
(716) 242-3360

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01077980A
IN
2084P0800X
Psychiatry Physician
Primary
ME148388
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
236040219
MEDICARE PTAN
IN
05
300002814
IN
01
M400075449
MEDICARE PTAN
IN
Enumeration date
07/17/2012
Last updated
08/12/2025
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