Individual
DR. ANTON ERIKOVICH LOTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 35TH LN STE 100B, VERO BEACH, FL 32960-6521
(772) 770-6848
Mailing address
5915 SUMMERSWEET LN, VERO BEACH, FL 32967-6073
(541) 297-1665
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
26134
OR
2084N0400X
Neurology Physician
Primary
ME167400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026822
—
OR
05
—
121920100
—
FL
01
—
1407812365
MEDICARE GROUP NPI
OR
01
—
930635514
TAX ID
OR
01
—
930802343
TAX ID#
OR
01
—
ME167400
FLORIDA MEDICAL LICENSE
FL
01
—
R0000WFBTV
MEDICARE GROUP PIN
OR
Enumeration date
09/07/2005
Last updated
06/24/2025
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