Individual
LAZARO NESTOR CRUZ-ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
11040 SW 36TH ST, MIAMI, FL 33165-3508
(786) 302-4721
(786) 302-4721
Mailing address
11040 SW 36TH ST, MIAMI, FL 33165-3508
(786) 302-4721
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-590
FL
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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