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Dr. Ernesto Lazaro Izquierdo, MD
General Practice Physician in Bradenton, Florida
NPI 1629182662

Ernesto Lazaro Izquierdo is a General Practice Physician based in Davenport, FL. Ernesto Lazaro Izquierdo practices in Bradenton, FL and has the professional credentials of MD. The NPI Number for Ernesto Lazaro Izquierdo is 1629182662 and holds a License No. ME95729 (Florida).

The current practice location address for Ernesto Lazaro Izquierdo is 712 53Rd Ave E Ste C, Bradenton, FL and can be reached out via phone at 417-552-4569 and via fax at 877-788-3881.

Location: 712 53Rd Ave E Ste C, Bradenton, FL, 33836-0878
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Provider Profile Details
NPI Number
1629182662
Provider Name
Ernesto Lazaro Izquierdo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
712 53Rd Ave E Ste C, Bradenton, FL, 33836-0878
Phone Number
417-552-4569
Fax Number
877-788-3881
Provider Enumeration Date
08/18/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
276498900 05 FL
institution
Provider Business Practice Location Address Details
Address
712 53Rd Ave E Ste C
City
State
Zip
34203-5827
Phone Number
417-552-4569
Fax Number
877-788-3881
person
Provider Business Mailing Address Details
Address
712 53Rd Ave E Ste C
City
State
Zip
34203-5827
Phone Number
417-552-4569
Fax Number
877-788-3881
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME95729 (Florida)
Definition
Definition to come...
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