DEREK GLENN BAZEMORE

MIAMI, FL
NPI1639495245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME107380)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: FL  ME107380)
208D00000X General Practice
(Licence: FL  ME107380)
Enumeration Date2010-04-08
Last Update Date2023-06-14
Business Address
Dr. DEREK GLENN BAZEMORE MD
12750 SW 128TH ST STE 108
MIAMI, FL 33186-5380
Phone number: 917-750-5709
Mailing Address
Dr. DEREK GLENN BAZEMORE MD
55 SW 9TH ST APT 1405
MIAMI, FL 33130-3992
Phone number: 917-750-5709