MEDICARE: DR. PAT BYRON PAZMINO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	ME87909	FL

General Provider Information

NPI Number	:	1184624033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAT BYRON PAZMINO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 546068
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33154-0068
Country	:	US
Telephone Number	:	305-576-3443
Fax Number	:	305-576-3445

Provider Business Practice Location Address
First Line	:	848 BRICKELL AVE
Second Line	:	SUITE 820
City	:	MIAMI
State	:	FL
Zip	:	33131-2949
Country	:	US
Telephone Number	:	305-576-3443
Fax Number	:	305-576-3445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	05/01/2015

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