Provider Demographics
NPI:1184624033
Name:PAZMINO, PAT BYRON (MD)
Entity type:Individual
Prefix:DR
First Name:PAT
Middle Name:BYRON
Last Name:PAZMINO
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: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 1:848 BRICKELL AVE
Practice Address - Street 2:SUITE 820
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2949
Practice Address - Country:US
Practice Address - Phone:305-576-3443
Practice Address - Fax:305-576-3445
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87909208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL44795AMedicare ID - Type Unspecified
FLH09194Medicare UPIN