Individual
DR. JOSEPH M BAZARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1611 LISENBY AVE, PANAMA CITY, FL 32405-3711
(850) 913-0000
(850) 785-1988
Mailing address
1611 LISENBY AVE, PANAMA CITY, FL 32405-3711
(850) 913-0000
(850) 785-1988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620189000
—
FL
Enumeration date
01/12/2007
Last updated
04/09/2008
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