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Contact Information

JOHN A BAZLEY, MD
1600 LAKELAND HILLS BLVD
LAKELAND, FL33805
 Phone: 863-680-7000
 Fax: 866-264-8519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN A BAZLEY · (Male)

NPI # 1063483105
Status Active
Credentials MD
Entity Individual
Enumeration date 01/27/2006
Last updated 06/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME15649
  • FL Medicaid 037312500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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