Individual provider Active NPI

Lazaro Pedrol

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1821456161
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9236801 Issued in FL
Practice address
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone
(800) 226-8874
NPI assigned
Feb 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9236801 FL Primary

Addresses

Primary practice location

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915

Mailing address

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (800) 226-8874

Other practice location 1

14250 SW 43rd Ter
Miami, FL 33175-4314
Phone (305) 979-6296

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170522001478 FL Practitioner - Nurse Practitioner 8527366913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QSM-FL, IncGroup PAC ID 0648548982, 19 clinicians

Practice addresses (Care Compare)

3800 S Ocean Dr
Suite 209
Hollywood, FL 33019-2915
Phone (800) 226-8874

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9236801FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Surgical Management Inc CurrentSince Apr 22, 2023 Accepting new patients

Locations

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

9400 SW 137th Ave
Miami, FL 33186
Phone (305) 385-8290

13900 NE 3rd Ct
North Miami, FL 33161
Phone (305) 893-2288

4847 David S Mack Dr
West Palm Beach, FL 33417
Phone (561) 209-6123

2501 N Australian Ave
West Palm Beach, FL 33407
Phone (561) 655-7780

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1821456161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "800-226-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "800-226-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14250 SW 43rd Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331754314",
            "country_code": "US",
            "telephone_number": "305-979-6296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDROL",
        "first_name": "LAZARO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9236801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.