Dr. Lamar Ricardo Wedderburn, DO
Internal Medicine in Orlando, FL. Individual provider (NPI-1).
NPI number1053802439
StatusActive
Last updated in NPPESJun 27, 2025
Details
- NPI
- 1053802439
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lamar Ricardo Wedderburn
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2018
- Certification date
- Jun 27, 2025
- Last updated
- Jun 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | OS17834 | FL | Yes |
| 207R00000X | Internal Medicine | OP61628433 | WA |
Practice location
1812 N Mills AveOrlando, FL 32803-1834
Phone 407-897-3499
Mailing address
1812 N Mills AveOrlando, FL 32803-1834
Phone 407-897-3499
Other practice locations
7125 Murrell Rd Ste B
Melbourne, FL 32940-7999
Melbourne, FL 32940-7999
Phone 321-361-5585 · Fax 321-253-3805
8609 Evergreen Way
Everett, WA 98208
Everett, WA 98208
Phone 425-789-3700
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