Organization
LAZARO BOUZA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO BOUZA M.D. (MEDICAL DOCTOR/PRESIDENT)
(305) 226-4634
Entity
Organization
Contact information
Practice address
3611 SW 107TH AVE, MIAMI, FL 33165-3636
(305) 226-4634
(305) 226-5154
Mailing address
3611 SW 107TH AVE, MIAMI, FL 33165-3636
(305) 226-4634
(305) 226-5154
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0042893
FL
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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