Individual
DR. PAUL W. BUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1698 W. HIBISCUS BLVD., BREVARD REGIONAL HYPERBARIC CENTER, MELBOURNE, FL 32901
(321) 676-3200
(321) 327-2893
Mailing address
P.O. BOX 2227, MELBOURNE, FL 32902
(321) 676-3200
(321) 327-2893
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
OS6304
FL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
OS6304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161619180001
TRICARE
FL
05
—
375123600
—
FL
01
—
80903
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
01/16/2007
Last updated
09/17/2015
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