Individual
DR. GERALD HAZOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
708 E UNIVERSITY AVE, GAINESVILLE, FL 32601
(352) 373-4300
(352) 372-1641
Mailing address
708 E UNIVERSITY AVE, GAINESVILLE, FL 32601-5509
(352) 373-4300
(352) 372-1641
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME13279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01884
BLUE CROSS BLUE SHIELD FL
FL
05
—
049691000
—
FL
01
—
209027
AVMED HEALTH PLAN
FL
Enumeration date
04/01/2006
Last updated
06/14/2018
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