Provider Demographics
NPI:1043455959
Name:POZO, OVIDIO R (MD)
Entity Type:Individual
Prefix:DR
First Name:OVIDIO
Middle Name:R
Last Name:POZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1737 KNIGHTS WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-5325
Mailing Address - Country:US
Mailing Address - Phone:239-774-2125
Mailing Address - Fax:
Practice Address - Street 1:1737 KNIGHTS WAY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-5325
Practice Address - Country:US
Practice Address - Phone:239-774-2125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME28514208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice