Provider Demographics
NPI:1215813324
Name:OPEN ARMS HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:OPEN ARMS HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:OPEN ARMS HEALTHCARE SERVICES LLC
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZARRE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-433-1061
Mailing Address - Street 1:1630 SUE DR APT B
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32922-5297
Mailing Address - Country:US
Mailing Address - Phone:305-433-1061
Mailing Address - Fax:
Practice Address - Street 1:39 NW 166TH ST STE 1
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-6049
Practice Address - Country:US
Practice Address - Phone:321-209-3211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty