Bravo, Lazaro Oscar
Bravo, Lazaro Oscar is an individual health care provider with primary practice located at 13340 Metro Pkwy Ste 400 , Fort Myers FL 33966. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Bravo, Lazaro Oscar can be contacted via phone (239) 343-1105.Contact Information
Primary practice address
13340 Metro Pkwy Ste 400
Fort Myers FL 33966
Phone: (239) 343-1105
Fax: (239) 343-1106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME108231 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME108231 | Florida |
Profile Details
| NPI number | 1295785657 |
|---|---|
| LBN Legal business name | Bravo, Lazaro Oscar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Mar 24th, 2021 - about 4 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 | 1295785657 | NPPES |
| Florida | MEDICAID | 002756600 |
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