Organization
PAVEL V GAZDOVICH OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAVEL V GAZDOVICH OD (OPTOMETRIST/ OWNER)
(305) 424-8451
Entity
Organization
Contact information
Practice address
9569 S DIXIE HWY, MIAMI, FL 33156-2802
(305) 424-8451
(305) 424-4248
Mailing address
3260 SW 140TH AVE, MIAMI, FL 33175-6755
(305) 424-8451
(305) 424-8526
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4933
FL
Other
Enumeration date
02/10/2015
Last updated
12/06/2022
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