Kayla B. Fazio D.O.
Family Medicine Physician in Orange Park, FL(View on Map)
Full Name
Kayla Beth Fazio D.O.
NPI Number
1376956219
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/09/2014
Specialties
(Taxonomies)Licenses
State
Florida
Florida
License Number
OS14284
UO 4131
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 45443
769 BLANDING BLVD STE 7
City
Salt Lake City
Orange Park
State
UT
FL
Postal Code
84145-0443
32065-8700
Country
US
US
Telephone Number
(904) 202-1032
(904) 458-4882
Identifiers
Identifier
021374400
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/20/2019
Provider Address
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