Individual
SANTIAGO LIZARAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3084 NE 41ST TER, HOMESTEAD, FL 33033-6619
(305) 245-8050
(305) 245-5950
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 967-6400
(954) 965-7339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C54073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023391800
—
FL
01
—
C54073
LICENSE
CA
01
—
ME77787
LICENSE
FL
Enumeration date
06/10/2010
Last updated
02/28/2018
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