Provider Demographics
NPI:1457442451
Name:INSTITUTE FOR RHEUMATOLOGY & INTEGRATIVE MEDICINE
Entity Type:Organization
Organization Name:INSTITUTE FOR RHEUMATOLOGY & INTEGRATIVE MEDICINE
Other - Org Name:ALEX M LAM MD PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:MEILAN
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-620-0011
Mailing Address - Street 1:160 S FLAMINGO RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1720
Mailing Address - Country:US
Mailing Address - Phone:954-620-0011
Mailing Address - Fax:954-620-0238
Practice Address - Street 1:160 S FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1720
Practice Address - Country:US
Practice Address - Phone:954-620-0011
Practice Address - Fax:954-620-0238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94983207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
52496OtherBCBS
FL6414190001Medicare NSC
52496OtherBCBS
FLI48761Medicare UPIN