Doctor Name: | DR. ERNESTO J. LAMADRID |
NPI Number: | 1578777140 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ACN101 |
Business Practice Address: | 1026 Sw 2nd Ave Suite C Gainesville, FL - 326016134 |
Business Phone Number: | 3525050255 |
Business Fax Number: | 3525050997 |
Mailing Address: | 1026 Sw 2nd Ave, Suite C GAINESVILLE |
State: | FL |
Postal Code: | 326016134 |
Phone Number: | 3525050255 |
Fax Number: | 3525050997 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | ACN101 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |