Provider Demographics
NPI:1073496212
Name:LAMAGS GROUP INC
Entity type:Organization
Organization Name:LAMAGS GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-273-0728
Mailing Address - Street 1:4300 N UNIVERSITY DR STE A106
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6243
Mailing Address - Country:US
Mailing Address - Phone:786-273-0728
Mailing Address - Fax:305-675-0242
Practice Address - Street 1:4300 N UNIVERSITY DR STE A106
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-6243
Practice Address - Country:US
Practice Address - Phone:786-273-0728
Practice Address - Fax:305-675-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty