Individual
DR. MICHAEL LOZANO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
4824 LONGWATER WAY, TAMPA, FL 33615-4216
(813) 784-6122
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME65626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221143
AMERIGROUP
FL
01
—
25581
BLUE CROSS OF FLORIDA
FL
05
—
376856200
—
FL
Enumeration date
06/25/2006
Last updated
12/14/2021
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