Provider Demographics
NPI:1780632208
Name:PAZOS, MAX R (MD)
Entity type:Individual
Prefix:
First Name:MAX
Middle Name:R
Last Name:PAZOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MAX
Other - Middle Name:
Other - Last Name:PAZOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PA
Mailing Address - Street 1:5040 NW 7 ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126
Mailing Address - Country:US
Mailing Address - Phone:305-665-3129
Mailing Address - Fax:305-443-8988
Practice Address - Street 1:5040 NW 7 ST
Practice Address - Street 2:SUITE 700
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126
Practice Address - Country:US
Practice Address - Phone:305-665-3129
Practice Address - Fax:305-443-8988
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0041056207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL047005800Medicaid
FL047005800Medicaid
FL07171Medicare ID - Type Unspecified