Individual
RICHARD LAZARO ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1601 N PALM AVE STE 211, PEMBROKE PINES, FL 33026-3204
(954) 447-0010
(954) 447-0899
Mailing address
1065 NE 125TH ST STE 300, NORTH MIAMI, FL 33161-5833
(888) 852-6672
(305) 891-4228
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11044691
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11044691
FL
Other
Enumeration date
01/07/2026
Last updated
03/12/2026
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