Active NPI
Lamoutte & Verdeja MDS P a
- Specialist
- Plant City, FL
National Provider Identifier
1235336306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 78183
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45523 | Other | FL | BCBS |
Other names 1
- Women First Center
National Provider Directory
National Provider DirectoryNPI 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.