MEDICARE: MR. PAULO GUSTAVO LAZARO LCSW, CBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW5258	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z9778Z	OTHER	FL	MEDICARE ID- TYPE UNSPECIFIED

General Provider Information

NPI Number	:	1548223589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAULO GUSTAVO LAZARO LCSW, CBT

Provider Business Mailing Address
First Line	:	13499 BISCAYNE BLVD
Second Line	:	SUITE 208
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2059
Country	:	US
Telephone Number	:	305-206-2899
Fax Number	:	954-510-2079

Provider Business Practice Location Address
First Line	:	13499 BISCAYNE BLVD
Second Line	:	SUITE 208
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2059
Country	:	US
Telephone Number	:	305-206-2899
Fax Number	:	954-510-2079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	06/14/2011

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1972009066 — MR. WICKANDER FERREIRA MLT (ASCP)CM
Practice Location Address:

18100 W DIXIE HWY STE 205
NORTH MIAMI BEACH, FL
33160-2059

Practice Phone: 305-704-8503
Practice Fax:

1114553377 — KRISTINA MARIE BARRY LPC, LPCS-C
Practice Location Address:

2154 NOISETTE BLVD UNIT 226
NORTH CHARLESTON, SC
29405-2059

Practice Phone: 843-670-3093
Practice Fax:

1205262813 — CASSANDRA SPINA
Practice Location Address:

188 NORTH RD
SANDOWN, NH
03873-2059

Practice Phone: 978-378-0483
Practice Fax:

1669928263 — MR. JI WEON MOON ACUPUNCTURIST
Practice Location Address:

1222 WELSH RD STE B5
NORTH WALES, PA
19454-2059

Practice Phone: 267-379-6424
Practice Fax:

1124563416 — ISSAC POAGS
Practice Location Address:

650 E AZURE AVE APT 2059
NORTH LAS VEGAS, NV
89081-6876

Practice Phone: 708-288-5256
Practice Fax:

Directions to “ MR. PAULO GUSTAVO LAZARO LCSW, CBT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.