Panzo, Gregory J

Panzo, Gregory J is an individual health care provider with primary practice located at 17560 Highway 441 , Mount Dora FL 32757-6711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Panzo, Gregory J can be contacted via phone (352) 735-2020.

Contact Information

Primary practice address
17560 Highway 441 Mount Dora FL 32757-6711
Phone: (352) 735-2020
Fax: (352) 735-3233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0046534 Florida

Profile Details

NPI number 1457354573
LBN Legal business name Panzo, Gregory J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Sep 30th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457354573 NPPES
Florida Other 180015935 RAILROAD MEDICARE
Florida MEDICAID 0415367700 RAILROAD MEDICARE

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