Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME148087 | FL |
NPI | 1265813950 |
---|---|
Provider Name | Brandon Lambiris |
First Address | Sarasota, FL 34239-4500 |
Second Address | Sarasota, FL 34239-4500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2015 |
Last Update Date | 06/07/2021 |