Individual
DR. JOHN BAZATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
827 W OAK RIDGE RD, ORLANDO, FL 32809-4883
(407) 855-0093
(407) 857-8999
Mailing address
827 W OAK RIDGE RD, ORLANDO, FL 32809-4883
(407) 855-0093
(407) 857-8999
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P00001048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041187600
—
FL
Enumeration date
08/01/2006
Last updated
03/10/2011
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