Organization Active NPI

Theodore T Lamotta, Inc

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1821181348
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME93274 Issued in FL
Legal business name
THEODORE T LAMOTTA, INC
Practice address
3900 NW 79 Ave
Suite 728
Doral, FL 33166-6551
Phone
(305) 436-1066
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Theodore T Lamotta, M.D
Title
President
Phone
(561) 392-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME93274 FL Primary

Addresses

Primary practice location

3900 NW 79 Ave
Suite 728
Doral, FL 33166-6551

Mailing address

9173 SE Deerberry Place
Jupiter, FL 33469-1805
Phone (561) 392-6700

National Provider Directory

National Provider Directory
Tax ID family
Theodore T Lamotta Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821181348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9173 SE DEERBERRY PLACE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334691805",
            "telephone_number": "561-392-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79 AVE",
            "address_2": "SUITE 728",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666551",
            "telephone_number": "305-436-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE T LAMOTTA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMOTTA",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-392-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME93274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.