Healthcare Provider Details

I. General information

NPI: 1780513945
Provider Name (Legal Business Name): HEBA ALI KAZMI OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3711 SW 160TH AVE APT 302
MIRAMAR FL
33027-4660
US

IV. Provider business mailing address

3711 SW 160TH AVE APT 302
MIRAMAR FL
33027-4660
US

V. Phone/Fax

Practice location:
  • Phone: 305-206-9103
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6928
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: