Provider Demographics
NPI:1265813950
Name:LAMBIRIS, BRANDON (MD)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:LAMBIRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2677 S TAMIAMI TRL STE 3
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-4500
Mailing Address - Country:US
Mailing Address - Phone:941-366-9818
Mailing Address - Fax:941-955-4914
Practice Address - Street 1:2677 S TAMIAMI TRL STE 3
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-4500
Practice Address - Country:US
Practice Address - Phone:941-366-9818
Practice Address - Fax:941-955-4914
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1480872086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery