Individual
DR. ERNESTO LAZARO IZQUIERDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
712 53RD AVE E STE C, BRADENTON, FL 34203-5827
(417) 552-4569
(877) 788-3881
Mailing address
PO BOX 878, DAVENPORT, FL 33836-0878
(689) 223-3898
(689) 223-3898
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME95729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276498900
—
FL
Enumeration date
08/18/2006
Last updated
02/14/2025
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