Paul, Derek Kazim
Paul, Derek Kazim is an sole proprietor health care provider with primary practice located at 3735 11Th Cir Ste 101, Vero Beach FL 32960-4884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Paul, Derek Kazim can be contacted via phone (772) 569-5660.Contact Information
Primary practice address
3735 11Th Cir Ste 101
Vero Beach FL 32960-4884
Phone: (772) 569-5660
Fax: (772) 569-4343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME0068650 | Florida |
Profile Details
| NPI number | 1518905801 |
|---|---|
| LBN Legal business name | Paul, Derek Kazim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jun 7th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518905801 | NPPES |
| Florida | MEDICAID | 251102900 |
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