Lizardo, Miguel
Lizardo, Miguel is an individual health care provider with primary practice located at 12470 Telecom Dr Ste 300W , Temple Terrace FL 33637-0904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Lizardo, Miguel can be contacted via phone (813) 871-8183.Contact Information
Primary practice address
12470 Telecom Dr Ste 300W
Temple Terrace FL 33637-0904
Phone: (813) 871-8183
Fax: (813) 871-8184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 218399 | Massachusetts |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | ME135155 | Florida |
Profile Details
| NPI number | 1386684967 |
|---|---|
| LBN Legal business name | Lizardo, Miguel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jan 8th, 2020 - 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 | 1386684967 | NPPES |
| Massachusetts | MEDICAID | 2134217 |
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