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Organization
NEW LASER EYE CENTER OF MIAMI, INC.
Active
Organization
NEW LASER EYE CENTER OF MIAMI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL GEORGE LAZCANO M.D. (OWNER / PRESIDENT)
(305) 461-2400
Entity
Organization
Contact information
Practice address
1661 SW 37TH AVE, MIAMI, FL 33145-1754
(305) 461-2400
(305) 461-2902
Mailing address
1661 SW 37TH AVE, MIAMI, FL 33145-1754
(305) 461-2400
(305) 461-2902
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0D
BCBS
FL
05
—
013442800
—
FL
Enumeration date
09/15/2014
Last updated
09/03/2015
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