Mariano Lacayo
Physician Assistant in Miami, FL. Individual provider (NPI-1).
NPI number1649200056
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1649200056
- Entity type
- Individual (NPI-1)
- Name
- Mariano Lacayo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9100130 | FL | Yes |
Practice location
7821 Coral WaySte 101
Miami, FL 33155
Phone 305-261-1337
Mailing address
Po Box 830236Miami, FL 33283-0236
Phone 305-261-1337
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