Individual
GREGORY J PANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17560 HIGHWAY 441, MOUNT DORA, FL 32757-6711
(352) 735-2020
(352) 735-3233
Mailing address
17560 HIGHWAY 441, MOUNT DORA, FL 32757-6711
(352) 735-2020
(352) 735-3233
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0046534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415367700
—
FL
01
—
180015935
RAILROAD MEDICARE
FL
Enumeration date
05/23/2005
Last updated
09/30/2009
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