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Individual

DR. JEANINE F CARBONE-LAZARUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1951 SW 172ND AVE, STE 309, MIRAMAR, FL 33029-5593
(954) 499-4352
(954) 242-6600
Mailing address
PO BOX 744069 DEPT 50028, ATLANTA, GA 30384-4069
(954) 939-5000
(305) 669-9735

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
2009005085
MO
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME113051
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005945800
FL
Enumeration date
07/23/2007
Last updated
07/21/2022
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