Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mark Lazariciu, PA-C

Individual provider Physician Assistant · NPI 1578442752

Mr. Mark Lazariciu, PA-C is a Physician Assistant in Saint Petersburg, Florida. Qualified in 2025, 1 year ago. Practices with Wellmed Medical Management of Florida Inc, a 159-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

960 58th St N
Saint Petersburg, FL 33710-6325
Phone: (727) 820-7778
Fax: (727) 820-7779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1578442752
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 1, 2025
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Wellmed Medical Management Of Florida Inc — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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