Organization
THEODORE T LAMOTTA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE T LAMOTTA M.D (PRESIDENT)
(561) 392-6700
Entity
Organization
Contact information
Practice address
3900 NW 79 AVE, SUITE 728, DORAL, FL 33166-6551
(305) 436-1066
Mailing address
9173 SE DEERBERRY PLACE, JUPITER, FL 33469-1805
(561) 392-6700
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME93274
FL
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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