Provider Demographics
NPI:1457327421
Name:TOLAYMAT, LAMA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAMA
Middle Name:
Last Name:TOLAYMAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7421 CONROY WINDERMERE RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-2758
Mailing Address - Country:US
Mailing Address - Phone:407-378-5970
Mailing Address - Fax:407-757-0999
Practice Address - Street 1:7421 CONROY WINDERMERE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-2758
Practice Address - Country:US
Practice Address - Phone:407-378-5970
Practice Address - Fax:407-757-0999
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME72830207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100431800Medicaid
GA308729726AMedicaid
FLH64282Medicare UPIN
GA308729726AMedicaid