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NPI Code Detail

MEDICARE: LAZARO GONZALEZ

MEDICARE:   LAZARO  GONZALEZ
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
1106S00000XBehavior TechnicianRBT-26-529231FL

General Provider Information

NPI Number : 1871436048
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAZARO GONZALEZ
Provider Business Mailing Address
First Line : 1420 RODMAN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-6436
Country : US
Telephone Number : 305-946-9627
Fax Number :
Provider Business Practice Location Address
First Line : 10425 SW 41ST TER
Second Line :
City : MIAMI
State : FL
Zip : 33165-4927
Country : US
Telephone Number : 305-946-9627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ LAZARO GONZALEZ ” Practice Location

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