Lorenzo Plazas

Individual provider Active NPI Contractor · St Petersburg, FL

NPI 1073307708 · NPPES record last updated Apr 10, 2025

Key facts

NPI
1073307708
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone
(323) 842-5033
NPI assigned
Apr 7, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Corazon Medico LLC Current Accepting new patients

Locations

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Mailing address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Other providers in St Petersburg, FL

All providers in St Petersburg, FL · Contractor in Florida

Sources for this page

Verify at the official NPI Registry.