Provider Demographics
NPI:1538144597
Name:GAZO, ARTURO (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:
Last Name:GAZO
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 1:4570 LANTANA RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6908
Mailing Address - Country:US
Mailing Address - Phone:561-963-9881
Mailing Address - Fax:561-963-1390
Practice Address - Street 1:4570 LANTANA RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-6908
Practice Address - Country:US
Practice Address - Phone:561-963-9881
Practice Address - Fax:561-963-1390
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91347207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I21972Medicare UPIN
U5006ZMedicare ID - Type Unspecified