Individual
OSMANY LAZARO RODRIGUEZ HERRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2548 SIMPSON RD, KISSIMMEE, FL 34744-4637
(407) 632-4201
(407) 632-4206
Mailing address
PO BOX 4189, DEERFIELD BEACH, FL 33442-4189
(954) 363-9582
(954) 363-9663
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1576
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120589900
—
FL
Enumeration date
08/25/2022
Last updated
03/28/2025
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