Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEREK GLENN BAZEMORE JR., MD
Active Sole ProprietorFamily Medicine · MIAMI, FL
Registration Details
- NPI Number
- 1639495245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2010 (16.054287414331 yrs)
- Last Updated
- Jun 14, 2023
- Licenses
-
ME107380 (FL)ME107380 (FL)ME107380 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12750 SW 128TH ST STE 108MIAMI, FL, 331865380Browse FL providers · Browse ZIP 33186
- Phone
- 9177505709
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- General Practice
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MIAMI, FL
| Name | Credential | NPI |
|---|---|---|
| DR. CLIFFORD A KINDER | MD | 1669476537 |
| DR. GERARDO JORGE FRANCO | D.O. | 1942208582 |
| DR. NORMA SALENAH LAKE | MD | 1912906686 |
| DR. CARLOS MIGUEL LAROCCA | M.D. | 1265424097 |
| DR. ONEL CORRALES | M.D. | 1447246681 |
| NANCY MARIE EKLUND | MD | 1942298435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.