Bazata, John

Bazata, John is an individual health care provider with primary practice located at 827 W Oak Ridge Rd , Orlando FL 32809-4883. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bazata, John can be contacted via phone (407) 855-0093.

Contact Information

Primary practice address
827 W Oak Ridge Rd Orlando FL 32809-4883
Phone: (407) 855-0093
Fax: (407) 857-8999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P00001048 Florida

Profile Details

NPI number 1780691956
LBN Legal business name Bazata, John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Mar 10th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780691956 NPPES
Florida MEDICAID 041187600

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