MEDICARE: DR. LAZARO BOUZA 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	207RG0100X	Gastroenterology Physician	ME0042893	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	:	1326084203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAZARO BOUZA M.D.

Provider Business Mailing Address
First Line	:	3611 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3636
Country	:	US
Telephone Number	:	305-226-4634
Fax Number	:	305-226-5154

Provider Business Practice Location Address
First Line	:	3611 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3636
Country	:	US
Telephone Number	:	305-226-4634
Fax Number	:	305-226-5154

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	02/22/2010

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1215986906 — ROLANDO CASTILLO LMHC
Practice Location Address:

3621 SW 107TH AVE
MIAMI, FL
33165-3636

Practice Phone: 305-608-3383
Practice Fax: 786-534-7118

1326128323 — MR. HAMLET HASSAN MD
Practice Location Address:

3611 SW 107TH AVE , SUITE 10
MIAMI, FL
33165-3636

Practice Phone: 305-594-4421
Practice Fax: 305-594-4644

1821310632 — DR. OSVALDO ANTONIO FERNANDEZ DOMINGUEZ M.D.
Practice Location Address:

3621 SW 107TH AVE
MIAMI, FL
33165-3636

Practice Phone: 855-226-6633
Practice Fax:

1023323086 — LAZARO BOUZA MD PA
Practice Location Address:

3611 SW 107TH AVE
MIAMI, FL
33165-3636

Practice Phone: 305-226-4634
Practice Fax: 305-226-5154

1235418567 — ZEENA D. SOSA PT
Practice Location Address:

3601 SW 107TH AVE
MIAMI, FL
33165-3636

Practice Phone: 305-624-3672
Practice Fax:

Directions to “ DR. LAZARO BOUZA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.