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Organization
LAZARILLO HEALTH CARE, INC.
Active
Organization
LAZARILLO HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE AZCUY (DIRECTOR)
(305) 804-7138
Entity
Organization
Contact information
Practice address
11802 SW 12TH ST, MIAMI, FL 33184-2506
(305) 804-7138
Mailing address
11802 SW 12TH ST, MIAMI, FL 33184-2506
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693551696
—
FL
05
—
693551698
—
FL
Enumeration date
08/17/2008
Last updated
08/17/2008
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