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1902868789

NPI Code Detail

MEDICARE: RODERICK ROPHEO LAZO PARAS MD

MEDICARE: RODERICK ROPHEO LAZO PARAS MD

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	207RX0202X	Medical Oncology Physician	MTL-2024-018	GU
2	207RX0202X	Medical Oncology Physician	M-2453	GU
3	207RX0202X	Medical Oncology Physician	A89506	CA
4	207RX0202X	Medical Oncology Physician	ME90374	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	:	1902868789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODERICK ROPHEO LAZO PARAS MD

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2824 ENTERPRISE RD
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8428
Country	:	US
Telephone Number	:	386-774-7411
Fax Number	:	386-774-7412

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	05/27/2025

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Directions to “ RODERICK ROPHEO LAZO PARAS MD” 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.

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