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Organization
VITREO RETINAL ASSOCIATES PA
Active
Organization
VITREO RETINAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAUSHIK M HAZARIWALA MD (PHYSICIAN)
(352) 371-2800
Entity
Organization
Contact information
Practice address
4340 W NEWBERRY RD STE 202, GAINESVILLE, FL 32607-2557
(352) 371-2800
(352) 378-7009
Mailing address
4340 W NEWBERRY RD, SUITE 202, GAINESVILLE, FL 32607-2586
(352) 371-2800
(352) 378-7009
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
06/19/2026
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