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Search › Florida › 207Q00000X

Derek Bazemore, MD

NPI 1639495245 · on the registry since 2010 · sole proprietor

Practice

Address
12750 Sw 128th St Ste 108
Miami, FL 33186
Phone
(917) 750-5709
Organisation at this address
Mtz Meds Llc
Natures Pathway Corp
Prime Support Care Inc
Behavior Acc Services Corp
M&V San Jose Medical Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207P00000X
208D00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida