Provider Demographics
NPI:1467509505
Name:LAPOLLA, JAMES PETER (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PETER
Last Name:LAPOLLA
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 1:600 EIGHTH STREET SOUTH
Mailing Address - Street 2:SUITE B
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701
Mailing Address - Country:US
Mailing Address - Phone:727-826-0735
Mailing Address - Fax:727-258-4863
Practice Address - Street 1:600 EIGHTH STREET SOUTH
Practice Address - Street 2:SUITE B
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701
Practice Address - Country:US
Practice Address - Phone:727-821-9688
Practice Address - Fax:727-821-9678
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49068207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02630OtherBCBS
980000160OtherRRW MCR
FL1275796609OtherGROUP NPI
FL046823100Medicaid
FL046823100Medicaid
FL02630Medicare PIN
FL02630OtherBCBS
FLD50588Medicare UPIN