MEDICARE: KAZIM MOHAMMED PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA911644	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467911040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAZIM MOHAMMED PA

Provider Business Mailing Address
First Line	:	6360 TECHSTER BLVD STE 1
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33966-4805
Country	:	US
Telephone Number	:	239-223-2751
Fax Number	:

Provider Business Practice Location Address
First Line	:	2830 WINKLER AVE STE 207
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33916-9301
Country	:	US
Telephone Number	:	239-215-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2019
Last Update Date	:	06/05/2019

Similar Medicare Providers

1477069516 — DEBORAHLIN HUXTABLE APRN
Practice Location Address:

2830 WINKLER AVE STE 207
FORT MYERS, FL
33916-9301

Practice Phone: 239-215-4600
Practice Fax:

1619431848 — RELIEF MD REHAB SPECIALISTS INC
Practice Location Address:

2830 WINKLER AVE STE 118
FORT MYERS, FL
33916-9301

Practice Phone: 561-929-6903
Practice Fax:

1487474516 — GENOA HEALTHCARE LLC
Practice Location Address:

2830 WINKLER AVENUE SUITE 105, ROOM 117
FORT MYERS, FL
33916-9301

Practice Phone: 239-387-6900
Practice Fax: 239-236-2827

1083581037 — TRINITY TRANSPORT SOLUTIONS
Practice Location Address:

4100 EVANS AVE
FORT MYERS, FL
33901-9301

Practice Phone: 239-634-6342
Practice Fax:

1851497580 — DEANNA MACKAY-CLARK OTR
Practice Location Address:

9301 SOUTH WIGHTS FORT RD , SUITE 215
WEST JORDAN, UT
84088

Practice Phone: 801-282-2200
Practice Fax: 801-282-2220

1376649400 — JOSHUA DAVID FUHRIMAN PT
Practice Location Address:

9301 S WIGHTS FORT ROAD , SUITE 215
WEST JORDAN, UT
84088

Practice Phone: 801-282-2200
Practice Fax: 801-282-2220

Directions to “ KAZIM MOHAMMED PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.