Dr. Butros Bazo MD
Internal Medicine Physician in Tampa, FL(View on Map)
Full Name
Dr. Butros Bazo MD
NPI Number
1144414673
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/28/2007
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME108858
Contact
Information
Purpose
Mailing
Location
Address
3001 W DR MLK BLVD
3001 W DR MARTIN LUTHER KING JR BLVD
City
Tampa
Tampa
State
FL
FL
Postal Code
33607-6307
33607-6307
Country
US
US
Telephone Number
(813) 870-4933
(813) 870-4933
Identifiers
Identifier
003265400
056012000
Identifier State
FL
MD
Identifier Issuer
Unknown
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
Burtos.BazoMD@direct.mybaycare.org
Endpoint Description
Unknown
Use
Health Information Exchange (HIE)
Content Type
CSV
Affiliation
Y
Endpoint Location
BayCare Medical Group, Inc.2995 Drew St Fl 2Clearwater, FL337593012US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/03/2022
Provider Address
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