Individual provider Active NPI

Nina Lazovic, M.D.

  • Family Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1124239207
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME98974 Issued in FL
Practice address
6131 Lagorce Dr
6131 La Gorce Drive
Miami Beach, FL 33140-2118
Phone
(305) 772-7697
NPI assigned
May 24, 2007
Last updated
Apr 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME98974 FL Primary

Addresses

Primary practice location

6131 Lagorce Dr
6131 La Gorce Drive
Miami Beach, FL 33140-2118

Mailing address

6131 Lagorce Dr
6131 La Gorce Drive
Miami Beach, FL 33140-2118
Phone (305) 772-7697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317001054 FL Practitioner - Family PracticePractitioner - Emergency Medicine 3173658911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700

2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320

709 Alton Rd
Suite 440
Miami Beach, FL 33139-5521
Phone (786) 204-4150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME98974FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince Mar 31, 2012 Accepting new patients

Locations

10 Giralda Ave
Coral Gables, FL 33134
Phone (786) 459-5000

1240 S Dixie Hwy
Coral Gables, FL 33146
Phone (305) 669-2833

6264 W Sample Rd
Coral Springs, FL 33067
Phone (954) 837-1010

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

9915 NW 41st St
Doral, FL 33178
Phone (305) 271-8851

2660 Brickell Ave
Miami, FL 33129
Phone (786) 467-5320

8400 NW 53rd St
Miami, FL 33166

709 Alton Rd
Ste 440
Miami Beach, FL 33139
Phone (786) 595-8220

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

1228 S Pine Island Rd
Ste 110
Plantation, FL 33324
Phone (305) 669-2833

12472 W Sunrise Blvd
Sunrise, FL 33323
Phone (305) 297-3561

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1124239207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 LAGORCE DR",
            "address_2": "6131 LA GORCE DRIVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402118",
            "telephone_number": "305-772-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 LAGORCE DR",
            "address_2": "6131 LA GORCE DRIVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402118",
            "telephone_number": "305-772-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZOVIC",
        "first_name": "NINA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.