# EDWARD LAZZARIN, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275791089
- **Authorized official:** EDWARD LAZZARIN MD (DIRECTOR)
- **Authorized official phone:** (305) 663-5989

## Contact information

- **Practice address:** 6085 BIRD RD STE 101, MIAMI, FL 33155-5254
- **Practice address phone:** (305) 663-5989
- **Practice address fax:** (305) 663-5989
- **Mailing address:** 6085 BIRD RD STE 101, MIAMI, FL 33155-5254
- **Mailing address phone:** (305) 663-5989
- **Mailing address fax:** (305) 663-5989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | ME36257 | FL | — |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 01/23/2024