Individual
JOIE OTTO CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32608
(940) 613-3021
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 627-9350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME148082
FL
2080P0203X
Pediatric Critical Care Medicine Physician
ME148082
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110496800
—
FL
Enumeration date
04/24/2018
Last updated
07/14/2025
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