Provider Demographics
NPI:1710700430
Name:PAJAZITI, GEZIM (APRN)
Entity type:Individual
Prefix:
First Name:GEZIM
Middle Name:
Last Name:PAJAZITI
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 740861
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-0861
Mailing Address - Country:US
Mailing Address - Phone:904-819-1006
Mailing Address - Fax:904-819-4906
Practice Address - Street 1:304 ASHOURIAN AVE STE 105
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092-5110
Practice Address - Country:US
Practice Address - Phone:904-819-1006
Practice Address - Fax:904-819-1008
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11033420363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily