Individual provider Active NPI

Ronald Mark Gazze II, M.D.

  • Family Medicine Physician
  • Juno Beach, FL
National Provider Identifier
1700971975
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME90101 Issued in FL
Practice address
700 Universe Blvd.
Juno Beach, FL 33408
Phone
(561) 694-6212
Fax
(561) 694-6224
NPI assigned
Oct 4, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME90101 FL Primary

Addresses

Primary practice location

700 Universe Blvd.
Juno Beach, FL 33408

Mailing address

3549 Old Lighthouse Circle
Wellington, FL 33414
Phone (561) 333-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130627000684 FL Order and Referring Only - Family PracticePractitioner - Family Practice 0749420545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Florida Medical PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ronald.gazze@catc.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700971975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 OLD LIGHTHOUSE CIRCLE",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-333-1520",
            "fax_number": "561-333-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSE BLVD.",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-694-6212",
            "fax_number": "561-694-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZZE",
        "first_name": "RONALD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juno Beach, FL

Sources for this page

Verify at the official NPI Registry.