Organization
LAZARO MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO GONZALEZ (PRESIDENT)
(786) 229-3674
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE STE 450, DORAL, FL 33166-6573
(786) 229-3674
Mailing address
3900 NW 79TH AVE STE 450, DORAL, FL 33166-6573
(786) 229-3674
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME14277
FL
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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