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Individual
DR. GERALD HAZOURI
Active
Individual
DR. GERALD HAZOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME13279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01884
BLUE CROSS BLUE SHIELD FL
FL
05
—
049691000
—
FL
01
—
209027
AVMED HEALTH PLAN
FL
Enumeration date
04/01/2006
Last updated
06/14/2018
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