MEDICARE: KAZAMIAS AND KAZAMIAS, 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	213E00000X	Podiatrist	PO2606	FL

General Provider Information

NPI Number	:	1619145703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAZAMIAS AND KAZAMIAS, PA

Provider Business Mailing Address
First Line	:	7512 COLONY LAKE DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-1308
Country	:	US
Telephone Number	:	954-205-3857
Fax Number	:	561-963-3988

Provider Business Practice Location Address
First Line	:	7512 COLONY LAKE DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-1308
Country	:	US
Telephone Number	:	561-632-6781
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. MICHAEL KAZAMIAS
Credential	:	DPM
Telephone Number	:	561-632-6781

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	06/07/2024

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