DR. LAWRENCE ALAN VICKMAN MD
NPI 1609919711
Internal Medicine - Obesity Medicine in Tampa, FL

Active since February 15, 2007Opted out of Medicare · through Oct 1, 2027
5323 BAYSHORE BLVD, SUITE E, TAMPA, FL 33611(813) 805-0388(813) 805-0390 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lawrence Alan Vickman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAWRENCE ALAN VICKMAN MD (NPI 1609919711) is an individual obesity medicine provider in Tampa, Florida, licensed in Florida (ME-84580) and active in the NPI registry since February 2007. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609919711
Entity TypeIndividualMale
Primary Taxonomy207RB0002X
Provider Legal NameDR. LAWRENCE ALAN VICKMANCredential: MD
Location Address5323 BAYSHORE BLVD, SUITE ETampa, FL 33611-4183
Mailing Address5323 Bayshore Blvd, Suite ETampa, FL 33611-4183 · (813) 805-0388 · Fax (813) 805-0390
Fax(813) 805-0390
Sole ProprietorYes
Enumeration DateFebruary 15, 2007
Last NPPES UpdateOctober 22, 2007
NPI 1609919711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RB0002X
License Licensed in FL · ME-84580
Definition
An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License ME 84580 (FL)
5323 BAYSHORE BLVD, Tampa, FL 33611

Other Identifiers 1

Medicare UPIND93337FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Lawrence Alan Vickman Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Vickman's NPI number?

The NPI number for Lawrence Vickman is 1609919711. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Lawrence Vickman located?

Lawrence Vickman practices at 5323 Bayshore Blvd Suite E, Tampa, FL 33611. The listed phone number is (813) 805-0388.

What is Lawrence Vickman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Is Lawrence Vickman enrolled in Medicare?

No. Lawrence Vickman has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lawrence Vickman was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.