# LAZENBY & HEATH MD'S PA

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

## Provider details

- **NPI number:** 1780727172
- **Authorized official:** DIANA HEATHER HEATH M.D. (CEO)
- **Authorized official phone:** (727) 934-5705

## Contact information

- **Practice address:** 1109 US HIGHWAY 19, HOLIDAY, FL 34691-5638
- **Practice address phone:** (727) 934-5705
- **Practice address fax:** (727) 937-3756
- **Mailing address:** 1109 US HIGHWAY 19, HOLIDAY, FL 34691-5638
- **Mailing address phone:** (727) 934-5705
- **Mailing address fax:** (727) 937-3756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 1291 | FL | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 01/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 37261500 | — | FL |