Provider Demographics
NPI:1487001202
Name:LAMAR MORALES, YETZABEL (MD)
Entity Type:Individual
Prefix:
First Name:YETZABEL
Middle Name:
Last Name:LAMAR MORALES
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 1:6101 WEBB RD STE 206
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-2865
Mailing Address - Country:US
Mailing Address - Phone:813-946-8220
Mailing Address - Fax:813-946-0301
Practice Address - Street 1:6101 WEBB RD STE 206
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-2865
Practice Address - Country:US
Practice Address - Phone:813-946-8220
Practice Address - Fax:813-946-0301
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301743207R00000X
FLME141123207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine