Lazaro Miranda Alfonso
NPI 1023869435 · on the registry since 2024 · sole proprietor
Practice
- Address
- 5332 Santa Monica Blvd N
Jacksonville, FL 32207 - Phone
- (305) 849-5208
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida