Individual
DR. BUTROS BAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, MS-3075, TAMPA, FL 33607-6307
(813) 870-4933
(813) 870-4887
Mailing address
3001 W DR MLK BLVD, TAMPA, FL 33607-6307
(813) 870-4933
(813) 870-4887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME108858
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003265400
—
FL
05
—
056012000
—
MD
Enumeration date
08/28/2007
Last updated
03/03/2022
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