Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME143773 | FL |
Y | 111NI0900X | Internist | ME143773 | FL |
NPI | 1003347410 |
---|---|
Provider Name | Dr. Eduardo Jose Lazaro |
First Address | Sarasota, FL 34233-5056 |
Second Address | Sarasota, FL 34233-5056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2017 |
Last Update Date | 11/08/2020 |