Individual
DR. MAHER A BAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
(904) 953-0115
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
(904) 953-0115
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
01073016A
IN
207RP1001X
Pulmonary Disease Physician
48159
KY
207RP1001X
Pulmonary Disease Physician
Primary
69989
FL
207RP1001X
Pulmonary Disease Physician
ME69989
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
48159
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201180030
—
IN
05
—
250004300
—
FL
Enumeration date
06/07/2006
Last updated
04/04/2022
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