Lazara Medina, | |
612 S State Road 7, Margate, FL 33068-1734 | |
(305) 266-2929 | |
(305) 834-7758 |
Full Name | Lazara Medina |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 612 S State Road 7, Margate, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053916163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 11009978 (Florida) | Primary |
Entity Name | South Dade Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285748285 PECOS PAC ID: 6002835360 Enrollment ID: O20051116000041 |
Entity Name | Pmc Jackson South, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043469232 PECOS PAC ID: 6901968478 Enrollment ID: O20081217000191 |
Mailing Address | Practice Location Address |
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Lazara Medina, 455 Nw 114th Ave Apt 308, Miami, FL 33172-4171 Ph: (786) 461-6091 | Lazara Medina, 612 S State Road 7, Margate, FL 33068-1734 Ph: (305) 266-2929 |
Roseline Paraisy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2681 Nw 62nd Ter, Margate, FL 33063 Phone: 954-774-8916 | |
Leticia Figueredo Cardona, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5643 Nw 29th St, Margate, FL 33063 Phone: 754-663-9933 | |
Danna Edmond-volmar, DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6662 Schooner Ter, Margate, FL 33063 Phone: 954-778-4344 | |
Michelle Angela Frederick Davis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5800 Colonial Dr Ste 403, Margate, FL 33063 Phone: 954-739-2221 | |
Anna Riley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5901 Colonial Dr Ste 102, Margate, FL 33063 Phone: 954-366-6287 | |
Alexandra Gamez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5643 Nw 29th St, Margate, FL 33063 Phone: 954-466-2793 |