Provider Demographics
NPI:1740213537
Name:EFFA, LEMMY NSOR (MD)
Entity Type:Individual
Prefix:
First Name:LEMMY
Middle Name:NSOR
Last Name:EFFA
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 1:1989 W LUMSDEN RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-8821
Mailing Address - Country:US
Mailing Address - Phone:813-653-3111
Mailing Address - Fax:813-653-1384
Practice Address - Street 1:1989 W LUMSDEN RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-8821
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-417-1708
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA041113207R00000X
FLME139384207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine