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JUAN DAVID LIZCANO MD
NPI 1346034782
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since April 09, 2025PECOS Enrolled
3450 HULL RD, GAINESVILLE, FL 32607(352) 273-7002 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juan David Lizcano Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN DAVID LIZCANO MD (NPI 1346034782) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346034782
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUAN DAVID LIZCANOCredential: MD
Location Address3450 HULL RDGainesville, FL 32607-4144
Mailing Address3450 Hull RdGainesville, FL 32607-4144
Phone(352) 273-7002
Sole ProprietorNo
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1346034782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3450 HULL RD, Gainesville, FL 32607
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan David Lizcano Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA MCCUSKER
Specialist/Technologist (Athletic Trainer)
3450 HULL RD
GAINESVILLE, FL 32607
Alachua County (865) 850-0079
JESSICA RYAN RAY APRN
Nurse Practitioner (Family)
3450 HULL RD
GAINESVILLE, FL 32607
Alachua County (352) 646-2986
DR. ANTONY MERENDINO DPM
Podiatrist
3450 HULL RD
GAINESVILLE, FL 32607
Alachua County (352) 273-7394
MATTHEW BEKE RDN
Dietitian, Registered
3450 HULL RD
GAINESVILLE, FL 32607
Alachua County (352) 294-5400
LANDON ROBERT TAYLOR
Physician Assistant
3450 HULL RD
GAINESVILLE, FL 32607
Alachua County (352) 273-7001
GONZALO SAMITIER M.D.
Student in an Organized Health Care Education/Training Program
3450 HULL RD, 3RD FLOOR, RM 3341
GAINESVILLE, FL 32607
Alachua County (352) 273-7375
DR. MARYBETH HORODYSKI EDD, ATC
Specialist/Technologist (Athletic Trainer)
3450 HULL RD
GAINESVILLE, FL 32607
Alachua County (352) 273-7074
ZANE ALAN THOMPSON M.D.
Pain Medicine (Interventional Pain Medicine)
3450 HULL RD
GAINESVILLE, FL 32607
Alachua County (352) 273-7356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Lizcano's NPI number?

The NPI number for Juan Lizcano is 1346034782. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Juan Lizcano located?

Juan Lizcano practices at 3450 Hull Rd, Gainesville, FL 32607. The listed phone number is (352) 273-7002.

What is Juan Lizcano's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Juan Lizcano enrolled in Medicare?

Yes. Juan Lizcano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juan Lizcano was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.