Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME88228 | FL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME88228 | FL |
NPI | 1124094503 |
---|---|
Provider Name | Daniel S Lamar |
First Address | Bradenton, FL 34209-5532 |
Second Address | Bradenton, FL 34209-5532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 23/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1285740720 | GROUP NPI (01) | FL |
71580 | BCBS FL (01) | FL |
I21695 | (02) | FL |
P00165084 | RAILROAD MEDICARE (01) | FL |