Derek Bazemore Md Inc

LBN: Derek Bazemore Md Inc
Derek Bazemore Md Inc is an health care organization with primary practice located at 55 Sw 9Th St Apt 1405 , Miami FL 33130-3992. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Derek Bazemore Md Inc can be contacted via phone (917) 750-5709, or through Bazemore, Derek Glenn via phone (917) 750-5709.

Contact Information

Primary practice address
55 Sw 9Th St Apt 1405 Miami FL 33130-3992
Phone: (917) 750-5709
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bazemore, Derek Glenn Doctor of Medicine (MD)
Phone: (917) 750-5709

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1487344875
LBN Legal business name Derek Bazemore Md Inc
DBA Doing business as
Authorized official Bazemore, Derek Glenn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2023
Last updated May 10th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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