Individual
NICKY GAZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 SW 129TH AVE STE 100, PEMBROKE PINES, FL 33027-1778
(866) 400-3376
Mailing address
21097 NE 27TH CT STE 500, AVENTURA, FL 33180-1235
(305) 931-6661
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5101024255
MI
207N00000X
Dermatology Physician
5151011340
MI
207N00000X
Dermatology Physician
Primary
OS19219
FL
Other
Enumeration date
06/24/2018
Last updated
08/30/2023
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