Provider Demographics
NPI:1265824080
Name:LORENZO, OSMANY
Entity Type:Individual
Prefix:
First Name:OSMANY
Middle Name:
Last Name:LORENZO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10241 SW 134TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2861
Mailing Address - Country:US
Mailing Address - Phone:305-383-0022
Mailing Address - Fax:786-797-7298
Practice Address - Street 1:10241 SW 134TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2861
Practice Address - Country:US
Practice Address - Phone:305-383-0622
Practice Address - Fax:786-797-7298
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11099251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management