Healthcare Provider Details

I. General information

NPI: 1548042112
Provider Name (Legal Business Name): LAZARUS CARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5909 SW 20TH ST
MIAMI FL
33155-2222
US

IV. Provider business mailing address

5909 SW 20TH ST
MIAMI FL
33155-2222
US

V. Phone/Fax

Practice location:
  • Phone: 786-227-7829
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: LAZARO LORENZO
Title or Position: CEO
Credential:
Phone: 786-227-7829