Provider Demographics
NPI:1538144597
Name:GAZO, ARTURO JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:JOSE
Last Name:GAZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 S DOUGLAS RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-1355
Mailing Address - Country:US
Mailing Address - Phone:954-276-6500
Mailing Address - Fax:954-437-0311
Practice Address - Street 1:801 S DOUGLAS RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-1355
Practice Address - Country:US
Practice Address - Phone:954-276-6500
Practice Address - Fax:954-437-0311
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL91347207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I21972Medicare UPIN
U5006ZMedicare ID - Type Unspecified