Individual
OMAR REY LAZARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13161 SW 242ND TER, HOMESTEAD, FL 33032-4028
(305) 303-0267
Mailing address
13161 SW 242ND TER, HOMESTEAD, FL 33032-4028
(305) 303-0267
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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