Individual provider Active NPI

Brazelia Lazzari

  • Acupuncturist
  • Ft Lauderdale, FL
National Provider Identifier
1962623314
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2366 Issued in FL
Practice address
2717 E Oakland Park Blvd
Suite 103
Ft Lauderdale, FL 33306-1664
Phone
(954) 566-5097
Fax
(954) 414-8422
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2366 FL Primary

Addresses

Primary practice location

2717 E Oakland Park Blvd
Suite 103
Ft Lauderdale, FL 33306-1664

Mailing address

2561 NW 79TH Ave
Margate, FL 33063-8156
Phone (954) 214-1065

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP2366FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Laboy Osteopathic PL PastSince Mar 19, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962623314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 NW 79TH AVE",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330638156",
            "telephone_number": "954-214-1065",
            "fax_number": "954-414-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND PARK BLVD",
            "address_2": "SUITE 103",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061664",
            "telephone_number": "954-566-5097",
            "fax_number": "954-414-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZARI",
        "first_name": "BRAZELIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.