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Organization
PAULO LAZARO LCSW LLC
Active
Organization
PAULO LAZARO LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAULO LAZARO LCSW (PRESIDENT)
(305) 206-2899
Entity
Organization
Contact information
Practice address
13499 BISCAYNE BLVD, SUITE 208, NORTH MIAMI, FL 33181-2043
(305) 206-2899
(954) 510-2079
Mailing address
13499 BISCAYNE BLVD, SUITE 208, NORTH MIAMI, FL 33181-2043
(305) 206-2899
(954) 510-2079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5258
FL
261QM0850X
Adult Mental Health Clinic/Center
SW5258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z9778Z
MEDICARE
FL
Enumeration date
08/01/2011
Last updated
08/01/2011
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