Paulo Lazaro Lcsw Llc | |
13499 Biscayne Blvd Suite 208 North Miami FL 33181-2043 | |
(305) 206-2899 | |
(954) 510-2079 |
Full Name | Paulo Lazaro Lcsw Llc |
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Speciality | Social Worker |
Location | 13499 Biscayne Blvd, North Miami, Florida |
Authorized Official Name and Position | Paulo Lazaro (PRESIDENT) |
Authorized Official Contact | 3052062899 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Paulo Lazaro Lcsw Llc 13499 Biscayne Blvd Suite 208 North Miami FL 33181-2043 Ph: (305) 206-2899 | Paulo Lazaro Lcsw Llc 13499 Biscayne Blvd Suite 208 North Miami FL 33181-2043 Ph: (305) 206-2899 |
NPI Number | 1255619714 |
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Provider Enumeration Date | 08/01/2011 |
Last Update Date | 08/01/2011 |
Medicare PECOS PAC ID | 8820260599 |
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Medicare Enrollment ID | O20111003000320 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255619714 | NPI | - | NPPES |
Z9778Z | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW5258 (Florida) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | SW5258 (Florida) | Secondary |
Provider Name | Paulo G Lazaro |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548223589 PECOS PAC ID: 1850286238 Enrollment ID: I20040216000731 |
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