Individual provider · Type 1 NPI

Lazaro Guillermo Miranda Alfonso

Driver · Jacksonville, FL

NPI number 1023869435 Active

Practice location

5332 Santa Monica Blvd N
Jacksonville, FL 32207-7435

Call (305) 849-5208 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1023869435

Lazaro Guillermo Miranda Alfonso's National Provider Identifier is 1023869435, issued on Apr 1, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 1, 2024.