Individual
WILLIAM HORST GAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1555 KINGSLEY AVE STE 503, ORANGE PARK, FL 32073-9207
(904) 278-5088
Mailing address
1555 KINGSLEY AVE STE 503, ORANGE PARK, FL 32073-9207
(904) 278-5088
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LL39357
SC
208600000X
Surgery Physician
Primary
OS19211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
06/09/2016
Last updated
10/12/2022
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