Individual
ROBERT R LAZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
496 39TH AVE, ST PETE BEACH, FL 33706-2604
(813) 477-6359
Mailing address
496 39TH AVE, ST PETE BEACH, FL 33706-2604
(813) 477-6359
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME52093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134223953
HUMANA
FL
01
—
1647394
CIGNA
FL
01
—
1777261
UNITED
FL
01
—
225192
WELLCARE
FL
01
—
255192
STAYWELL
FL
05
—
261013200
—
FL
01
—
279836
AVMED
FL
01
—
3309685
AETNA
FL
01
—
58816
BCBS
FL
Enumeration date
02/15/2006
Last updated
09/26/2023
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