Individual
DR. GAVRILO LAZOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6131 LAGORCE DR, MIAMI BEACH, FL 33140-2118
(305) 609-4219
Mailing address
6131 LAGORCE DR, MIAMI BEACH, FL 33140-2118
(305) 609-4219
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21704
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003122
—
WV
Enumeration date
05/23/2006
Last updated
07/18/2014
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