Organization
NEW LASER EYE CENTER OF MIAMI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL GEORGE LAZCANO M.D. (OWNER / PRESIDENT)
(305) 461-2400
Entity
Organization
Contact information
Practice address
1661 SW 37TH AVE, MIAMI, FL 33145-1754
(305) 461-2400
(305) 461-2902
Mailing address
1661 SW 37TH AVE, MIAMI, FL 33145-1754
(305) 461-2400
(305) 461-2902
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0D
BCBS
FL
05
—
013442800
—
FL
Enumeration date
09/15/2014
Last updated
09/03/2015
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