Individual
MR. ADAM WYATT LAZARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
18441 NW 2ND AVE, MIAMI GARDENS, FL 33169-4517
(786) 657-3276
Mailing address
18441 NW 2ND AVE STE 505, MIAMI GARDENS, FL 33169-4562
(786) 657-3276
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
66184
FL
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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