| Lazo Medical Center Inc | |
|
321 Se 29th Pl Suite 200 Ocala FL 34471-0489 | |
| (352) 690-6813 | |
| (352) 690-6859 |
| Full Name | Lazo Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 321 Se 29th Pl, Ocala, Florida |
| Authorized Official Name and Position | Edward Del Carmen Lazo (PRESIDENT) |
| Authorized Official Contact | 3526906813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazo Medical Center Inc 321 Se 29th Pl Suite 200 Ocala FL 34471-0489 Ph: (352) 690-6813 | Lazo Medical Center Inc 321 Se 29th Pl Suite 200 Ocala FL 34471-0489 Ph: (352) 690-6813 |
| NPI Number | 1154363737 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 09/20/2007 |
| Medicare PECOS PAC ID | 4385743343 |
|---|---|
| Medicare Enrollment ID | O20070616000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154363737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward C Lazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497957195 PECOS PAC ID: 4284732249 Enrollment ID: I20070614000486 |
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