# VITREO RETINAL ASSOCIATES PA

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

## Provider details

- **NPI number:** 1962626945
- **Authorized official:** DR. KAUSHIK M HAZARIWALA MD (PHYSICIAN)
- **Authorized official phone:** (352) 371-2800

## Contact information

- **Practice address:** 4340 W NEWBERRY RD STE 202, GAINESVILLE, FL 32607-2557
- **Practice address phone:** (352) 371-2800
- **Practice address fax:** (352) 378-7009
- **Mailing address:** 4340 W NEWBERRY RD, SUITE 202, GAINESVILLE, FL 32607-2586
- **Mailing address phone:** (352) 371-2800
- **Mailing address fax:** (352) 378-7009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 06/19/2026