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Individual

DR. JACQUES J LAMOTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 NEBRASKA AVE STE 9, FORT PIERCE, FL 34950-4837
(772) 465-4499
(772) 466-0832
Mailing address
4285 SE FRAZIER CT, STUART, FL 34997-5679
(702) 523-7599

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20494
AZ
207RC0000X
Cardiovascular Disease Physician
7158
NV
207RC0000X
Cardiovascular Disease Physician
ME140644
FL
208M00000X
Hospitalist Physician
ME140644
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129552900
FL
05
1679673057
NV
Enumeration date
09/25/2006
Last updated
12/23/2025
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