Individual
MAXIMO LAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3480 POLYNESIAN ISLE BLVD, KISSIMMEE, FL 34746
(407) 507-2615
(407) 507-2616
Mailing address
3480 POLYNESIAN ISLE BLVD, KISSIMMEE, FL 34746-1818
(407) 507-2615
(407) 507-2616
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME109403
FL
207RP1001X
Pulmonary Disease Physician
ME 109403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00-3705600
—
FL
Enumeration date
06/26/2009
Last updated
05/12/2021
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