Organization
LAMOUTTE & VERDEJA MDS P A
Active
Other names
Women First Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS LAMOUTTE MD (PRESIDENT)
(813) 719-3380
Entity
Organization
Contact information
Practice address
1601 W TIMBERLANE DR, SUITE 600, PLANT CITY, FL 33566-0959
(813) 719-3380
(813) 719-3060
Mailing address
PO BOX 1090, PLANT CITY, FL 33564-1090
(813) 719-3380
(813) 719-3060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 78183
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45523
BCBS
FL
Enumeration date
07/01/2007
Last updated
12/04/2012
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