MEDICARE: DR. GEORGE R. PIZARRO M.D.

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	207RC0000X	Cardiovascular Disease Physician	ME0033368	FL
2	174400000X	Specialist	ME 33368	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	:	1316914435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE R. PIZARRO M.D.

Provider Business Mailing Address
First Line	:	4795 WEST FLAGLER ST.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33134
Country	:	US
Telephone Number	:	305-443-6666
Fax Number	:	305-443-6696

Provider Business Practice Location Address
First Line	:	4795 WEST FLAGLER ST.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33134
Country	:	US
Telephone Number	:	305-443-6666
Fax Number	:	305-443-6696

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

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	02/23/2010

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