Nicky Gazy, | |
3 Sw 129th Ave Ste 100, Pembroke Pines, FL 33027-1778 | |
(866) 400-3376 | |
Not Available |
Full Name | Nicky Gazy |
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Gender | Male |
Speciality | Dermatology |
Location | 3 Sw 129th Ave Ste 100, Pembroke Pines, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104311075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 5101024255 (Michigan) | Secondary |
207N00000X | Dermatology | 5151011340 (Michigan) | Secondary |
207N00000X | Dermatology | OS19219 (Florida) | Primary |
Entity Name | Leavitt Medical Associates Of Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737 |
Mailing Address | Practice Location Address |
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Nicky Gazy, 21097 Ne 27th Ct Ste 500, Aventura, FL 33180-1235 Ph: (305) 931-6661 | Nicky Gazy, 3 Sw 129th Ave Ste 100, Pembroke Pines, FL 33027-1778 Ph: (866) 400-3376 |
Angelo Perry Thrower, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 17901 Nw 5th St Ste 205, Pembroke Pines, FL 33029 Phone: 305-757-9797 Fax: 305-757-9267 | |
Dr. Phi-van T Le, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 603 N Flamingo Rd, Ste 350, Pembroke Pines, FL 33028 Phone: 954-435-5100 Fax: 954-435-5816 | |
Ron Ramirez, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10001 Pines Blvd, Pembroke Pines, FL 33024 Phone: 954-436-5625 | |
Dr. Lacuyetunia S Todd, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 603 N Flamingo Rd, Suite 350, Pembroke Pines, FL 33028 Phone: 954-435-5100 Fax: 954-435-5816 | |
Dr. Robert A Snyder, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 603 N Flamingo Rd, Ste 350, Pembroke Pines, FL 33028 Phone: 954-435-5100 Fax: 954-435-5816 | |
Dr. Jay Stuart Gottlieb, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3 Sw 129th Ave Ste 100, Pembroke Pines, FL 33027 Phone: 866-400-3376 Fax: 954-217-3222 |