Healthcare Provider Details

I. General information

NPI: 1730356007
Provider Name (Legal Business Name): LAZARO C. DAUD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11880 SW 40TH ST STE 305
MIAMI FL
33175-3574
US

IV. Provider business mailing address

11880 SW 40TH ST STE 305
MIAMI FL
33175-3574
US

V. Phone/Fax

Practice location:
  • Phone: 305-223-3131
  • Fax:
Mailing address:
  • Phone: 305-223-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME102031
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberME102031
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: