Individual
SCOTT GARY LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, DIVISION OF PEDIATRICS, INPATIENT, HOLLYWOOD, FL 33021
(954) 265-6301
(954) 985-1434
Mailing address
1117 E HALLANDALE BEACH BLVD, HALLANDALE, FL 33009
(954) 457-8771
(954) 266-4006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0075684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261193700
—
FL
Enumeration date
10/16/2006
Last updated
03/23/2021
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