Provider Demographics
NPI:1033390232
Name:PAT PAZMINO, M.D., P.A.
Entity Type:Organization
Organization Name:PAT PAZMINO, M.D., P.A.
Other - Org Name:MIAMI AESTHETIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAT
Authorized Official - Middle Name:BYRON
Authorized Official - Last Name:PAZMINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-576-3443
Mailing Address - Street 1:PO BOX 546068
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33154-0068
Mailing Address - Country:US
Mailing Address - Phone:305-576-3443
Mailing Address - Fax:305-576-3445
Practice Address - Street 1:21355 E DIXIE HWY STE 108
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1239
Practice Address - Country:US
Practice Address - Phone:305-576-3443
Practice Address - Fax:305-576-3445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME879092086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5703Medicare PIN