| Edward P Lamotta Md Pa | |
|
1699 Periwinkle Way Sanibel FL 33957 | |
| (239) 395-2434 | |
| (239) 395-2494 |
| Full Name | Edward P Lamotta Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1699 Periwinkle Way, Sanibel, Florida |
| Authorized Official Name and Position | Edward P Lamotta (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2393952434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward P Lamotta Md Pa 1699 Periwinkle Way Sanibel FL 33957-4402 Ph: (239) 395-2434 | Edward P Lamotta Md Pa 1699 Periwinkle Way Sanibel FL 33957 Ph: (239) 395-2434 |
| NPI Number | 1306064381 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/08/2018 |
| Medicare PECOS PAC ID | 9537125810 |
|---|---|
| Medicare Enrollment ID | O20041208000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306064381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME74037 (Florida) | Primary |
| Provider Name | Edward P Lamotta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902805757 PECOS PAC ID: 0345206629 Enrollment ID: I20041209000266 |
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