Organization Active NPI

Lazaro a Hernandez MD PA

  • Medical Specialty Clinic/Center
  • Tampa, FL
National Provider Identifier
1033436381
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME19886 Issued in FL
Legal business name
LAZARO A HERNANDEZ MD PA
Practice address
2309 W Dr Martin Luther King Jr Blvd
Suite1
Tampa, FL 33607-6441
Phone
(813) 879-2778
Fax
(813) 877-6761
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lazaro Andres Hernandez, M.D
Title
Physician
Phone
(813) 879-2778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME19886 FL Primary

Addresses

Primary practice location

2309 W Dr Martin Luther King Jr Blvd
Suite1
Tampa, FL 33607-6441

Mailing address

2309 W Dr Martin Luther King Jr Blvd
Suite1
Tampa, FL 33607-6441
Phone (813) 879-2778

National Provider Directory

National Provider Directory

Locations

2309 W Mlk Blvd
Ste 1
Tampa, FL 33607
Phone (813) 879-2778

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1033436381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076441",
            "telephone_number": "813-879-2778",
            "fax_number": "813-877-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076441",
            "telephone_number": "813-879-2778",
            "fax_number": "813-877-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARO A HERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-879-2778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME19886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.