Lorenzo, Omar
Lorenzo, Omar is an sole proprietor health care provider with primary practice located at 5801 Nw 151St St Ste 202 , Miami Lakes FL 33014-2437. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Lorenzo, Omar can be contacted via phone (305) 557-6755.Contact Information
Primary practice address
5801 Nw 151St St Ste 202
Miami Lakes FL 33014-2437
Phone: (305) 557-6755
Fax: (305) 557-1636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PY7210 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY7210 | Florida |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY7210 | Florida |
Profile Details
| NPI number | 1790853166 |
|---|---|
| LBN Legal business name | Lorenzo, Omar |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jun 16th, 2022 - about 4 years ago |
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 | 1790853166 | NPPES |
| Florida | Other | 75335 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 11606395 | BLUE CROSS BLUE SHIELD |
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