Individual
DR. LULU AMORNMARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
5238-16 NORWOOD AVE, JACKSONVILLE, FL 32208-5005
(904) 861-1222
(904) 861-2688
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME61020
FL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
ME61020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030005313
RAILROAD MEDICARE
—
05
—
375111200
—
FL
01
—
BL140W
MEDICARE PTAN
—
Enumeration date
08/31/2006
Last updated
02/13/2026
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