Individual
RODERICK ROPHEO LAZO PARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2824 ENTERPRISE RD, ORANGE CITY, FL 32763-8428
(386) 774-7411
(386) 774-7412
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
A89506
CA
207RX0202X
Medical Oncology Physician
M-2453
GU
207RX0202X
Medical Oncology Physician
Primary
ME90374
FL
207RX0202X
Medical Oncology Physician
MTL-2024-018
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017410400
—
FL
Enumeration date
04/05/2006
Last updated
05/27/2025
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