Individual
EDUARDO LAZARO TAMARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PN 926221
Contact information
Practice address
10401 SW 40TH ST, MIAMI, FL 33165-3745
(305) 222-2000
(305) 222-2309
Mailing address
10401 SW 40TH ST, MIAMI, FL 33165-3745
(305) 222-2000
(305) 222-2309
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 926221
FL
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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