Bouza, Lazaro
Bouza, Lazaro is an sole proprietor health care provider with primary practice located at 3611 Sw 107Th Ave , Miami FL 33165-3636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bouza, Lazaro can be contacted via phone (305) 226-4634.Contact Information
Primary practice address
3611 Sw 107Th Ave
Miami FL 33165-3636
Phone: (305) 226-4634
Fax: (305) 226-5154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME0042893 | Florida |
Profile Details
| NPI number | 1326084203 |
|---|---|
| LBN Legal business name | Bouza, Lazaro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Feb 22nd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326084203 | NPPES |
| Florida | MEDICAID | 047546700 |
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