Healthcare Provider Details

I. General information

NPI: 1629271200
Provider Name (Legal Business Name): MICHAEL J SASEVICH-LORENZANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2007
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11760 SW 40TH ST STE 352B
MIAMI FL
33175-3595
US

IV. Provider business mailing address

11760 SW 40TH ST STE 352B
MIAMI FL
33175-3595
US

V. Phone/Fax

Practice location:
  • Phone: 786-428-1059
  • Fax: 786-428-1062
Mailing address:
  • Phone: 786-428-1059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME153089
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberA85960
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberME153089
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA85960
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number30875
License Number StateOK
# 6
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number30875
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: