J NOEL LAMA, MD, PA
Marriage and Family Therapists at Dixie Dr, Grenelefe, FL

License number
Florida 64989
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JACOBO NOEL LAMA MD
Title: PHYSICIAN
Phone: (863) 421-1190
Address
Address
101 S Dixie Dr, Grenelefe, FL 33844
National Provider ID: 1265706709
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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J. Noel Lama, M.D., PA

Grenelefe, FL

Registration:
Nov 5, 1993
Addresses:
101 S Dixie Dr, Grenelefe, FL 33844
101 Dixie Dr, Grenelefe, FL 33844
State ID:
P93000076860
Business type:
Domestic for Profit Corporation
Vice Presidents:
Jacobo N. Lama (President),Edna M. Gomez (Vice President)
Agent:
J. Noel Lama

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