# JENNIFER BAUZA, OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134443997
- **Authorized official:** DR. JENNIFER BAUZA O.D. (PRESIDENT)
- **Authorized official phone:** (786) 333-3338

## Contact information

- **Practice address:** 5231 W 25TH CT, HIALEAH, FL 33016-4072
- **Practice address phone:** (786) 333-3338
- **Mailing address:** 5231 W 25TH CT, HIALEAH, FL 33016-4072
- **Mailing address phone:** (786) 333-3338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 4423 | FL | Yes |

## Other

- **Enumeration date:** 03/23/2010
- **Last updated:** 03/08/2011