Izquierdo, Ernesto Lazaro
Izquierdo, Ernesto Lazaro is an individual health care provider with primary practice located at 712 53Rd Ave E Ste C , Bradenton FL 34203-5827. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Izquierdo, Ernesto Lazaro can be contacted via phone (417) 552-4569.Contact Information
Primary practice address
712 53Rd Ave E Ste C
Bradenton FL 34203-5827
Phone: (417) 552-4569
Fax: (877) 788-3881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME95729 | Florida |
Profile Details
| NPI number | 1629182662 |
|---|---|
| LBN Legal business name | Izquierdo, Ernesto Lazaro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Feb 14th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629182662 | NPPES |
| Florida | MEDICAID | 276498900 |
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