Individual
LAZARO ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 DOVE AVE, MIAMI SPRINGS, FL 33166-3203
(201) 927-8533
Mailing address
2782 SW 32ND CT, MIAMI, FL 33133-2843
(201) 927-8533
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3059
FL
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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