Provider Demographics
NPI:1558363291
Name:BIZER, WAYNE FRANKLIN (DO)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:FRANKLIN
Last Name:BIZER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 39209
Mailing Address - Street 2:
Mailing Address - City:FT. LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339
Mailing Address - Country:US
Mailing Address - Phone:954-851-9966
Mailing Address - Fax:954-318-7360
Practice Address - Street 1:850 S. PINE ISLAND RD.
Practice Address - Street 2:STE A100
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:954-741-5555
Practice Address - Fax:954-741-6298
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0003590207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650560968OtherUNITED
FL059262500Medicaid
FL212080OtherAVMED
FL212080OtherCOMPBENEFITS CORPORATION
FL2423159OtherAETNA
FL650560968OtherCIGNA
FL82144OtherBLUE CROSS BLUE SHEILD
FL180024795OtherRAILROAD MEDICARE
FL650560968OtherHUMANA
FL212080OtherAVMED
FL2423159OtherAETNA
FL059262500Medicaid