MEDICARE: RODRIGO LOZANO

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	SW 13005	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316313042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODRIGO LOZANO

Provider Business Mailing Address
First Line	:	2995 DREW ST
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-315-7496
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 W DR MLK BLVD STE 640
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6399
Country	:	US
Telephone Number	:	813-872-7582
Fax Number	:

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

Provider Enumeration Date	:	08/17/2015
Last Update Date	:	03/14/2025

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Directions to “ RODRIGO LOZANO ” Practice Location

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