Organization Active NPI

Lazo Medical Center Inc

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1154363737
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LAZO MEDICAL CENTER INC
Practice address
321 SE 29TH PL
Suite 200
Ocala, FL 34471-0489
Phone
(352) 690-6813
Fax
(352) 690-6859
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Edward Del Carmen Lazo, M.D.
Title
President
Phone
(352) 690-6813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

321 SE 29TH PL
Suite 200
Ocala, FL 34471-0489

Mailing address

321 SE 29TH PL
Suite 200
Ocala, FL 34471-0489
Phone (352) 690-6813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070616000032 FL Part B Supplier - Clinic/Group Practice 4385743343 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0928591Lazo Medical Center Inc321 SE 29TH PL Ste 200, Ocala, FL 34471Certificate of waiverMay 21, 2027

National Provider Directory

National Provider Directory

Locations

321 SE 29th Pl
Ste 200
Ocala, FL 34471
Phone (352) 629-3711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1154363737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SE 29TH PL",
            "address_2": "SUITE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710489",
            "telephone_number": "352-690-6813",
            "fax_number": "352-690-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SE 29TH PL",
            "address_2": "SUITE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710489",
            "telephone_number": "352-690-6813",
            "fax_number": "352-690-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZO MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "LAZO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "DEL CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-690-6813",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.