Dr Ernesto Lazaro Izquierdo, MD | |
712 53rd Ave E Ste C, Bradenton, FL 34203-5827 | |
(417) 552-4569 | |
(877) 788-3881 |
Full Name | Dr Ernesto Lazaro Izquierdo |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 42 Years |
Location | 712 53rd Ave E Ste C, Bradenton, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629182662 | NPI | - | NPPES |
276498900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME95729 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarasota Memorial Hospital | Sarasota, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Doctors Center Inc | 9133020787 | 6 |
Entity Name | The Doctors Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053366880 PECOS PAC ID: 9133020787 Enrollment ID: O20040116000189 |
Entity Name | Mid Florida Adult Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174832034 PECOS PAC ID: 6406043652 Enrollment ID: O20101214000549 |
Mailing Address | Practice Location Address |
---|---|
Dr Ernesto Lazaro Izquierdo, MD Po Box 878, Davenport, FL 33836-0878 Ph: (689) 223-3898 | Dr Ernesto Lazaro Izquierdo, MD 712 53rd Ave E Ste C, Bradenton, FL 34203-5827 Ph: (417) 552-4569 |
Dr. Ali Zaidi, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-745-7286 | |
Dr. Frantz Simeon, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 3800 26th St W, Bradenton, FL 34205 Phone: 195-462-4603 | |
Mario Roberto Barrera Del Aguila, MD General Practice Medicare: Medicare Enrolled Practice Location: 2318 Manatee Ave W, Bradenton, FL 34205 Phone: 941-714-7150 Fax: 941-405-1145 | |
Gerardo Antonio Pedroza-sierra, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 6090 26th St W, Bradenton, FL 34207 Phone: 941-218-2353 Fax: 844-388-6186 | |
Mallory E Wauthier, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-745-7257 | |
Dr. Rosan Marie Sequeda, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 712 53rd Ave E, Bradenton, FL 34203 Phone: 941-755-2456 Fax: 877-788-3881 | |
Ike Akos Boka, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 4011 26th St W, Bradenton, FL 34205 Phone: 305-647-0920 |