Organization Active NPI

Lamoutte & Verdeja MDS P a

  • Specialist
  • Plant City, FL
National Provider Identifier
1235336306
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 78183 Issued in FL
Legal business name
LAMOUTTE & VERDEJA MDS P A
Practice address
1601 W Timberlane Dr
Suite 600
Plant City, FL 33566-0959
Phone
(813) 719-3380
Fax
(813) 719-3060
NPI assigned
Jul 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carlos Lamoutte, MD
Title
President
Phone
(813) 719-3380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME 78183 FL Primary

Addresses

Primary practice location

1601 W Timberlane Dr
Suite 600
Plant City, FL 33566-0959

Mailing address

PO Box 1090
Plant City, FL 33564-1090
Phone (813) 719-3380

Other identifiers 1

IdentifierTypeStateIssuer
45523OtherFLBCBS

Other names 1

  • Women First Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1235336306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335641090",
            "telephone_number": "813-719-3380",
            "fax_number": "813-719-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W TIMBERLANE DR",
            "address_2": "SUITE 600",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660959",
            "telephone_number": "813-719-3380",
            "fax_number": "813-719-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMOUTTE & VERDEJA MDS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-01",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "LAMOUTTE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-719-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 78183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45523",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women First Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.