Individual
DR. MARK URI LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4818 W SUNSET BLVD, TAMPA, FL 33629-6421
(813) 951-0941
Mailing address
4818 W SUNSET BLVD, TAMPA, FL 33629-6421
(813) 951-0941
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME66720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25851
BCBS OF FL
FL
05
—
375857500
—
FL
Enumeration date
09/27/2006
Last updated
08/16/2010
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