Individual
DR. FRED H LAMBROU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 SHIRCLIFF WAY STE 715, JACKSONVILLE, FL 32204-4759
(904) 388-8446
(904) 384-6261
Mailing address
2 SHIRCLIFF WAY STE 715, JACKSONVILLE, FL 32204-4759
(904) 388-8446
(904) 384-6261
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME0053221
FL
207W00000X
Ophthalmology Physician
ME026143
GA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME53221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00394479A
—
GA
05
—
048036300
—
FL
01
—
05860
BCBS
FL
Enumeration date
09/02/2005
Last updated
11/06/2017
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