| Mayra Lorenzo M.d Pa | |
|
12150 Seminole Blvd Largo FL 33778-2833 | |
| (727) 216-6188 | |
| (727) 216-6243 |
| Full Name | Mayra Lorenzo M.d Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12150 Seminole Blvd, Largo, Florida |
| Authorized Official Name and Position | Mayra L Lorenzo (PHYSCIAN/OWNER) |
| Authorized Official Contact | 7272166188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayra Lorenzo M.d Pa 12150 Seminole Blvd Largo FL 33778-2833 Ph: (727) 216-6188 | Mayra Lorenzo M.d Pa 12150 Seminole Blvd Largo FL 33778-2833 Ph: (727) 216-6188 |
| NPI Number | 1780828186 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 02/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780828186 | NPI | - | NPPES |
| 1447251061 | Other | FL | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME59120 (Florida) | Primary |
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