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NPI Code Detail

MEDICARE: NADIA KAZIM MD PA

MEDICARE: NADIA KAZIM MD 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
1207W00000XOphthalmology PhysicianME101870FL

General Provider Information

NPI Number : 1679892350
Entity Type Code : Organization
Provider Name (Legal Business Name) : NADIA KAZIM MD PA
Provider Business Mailing Address
First Line : PO BOX 895
Second Line :
City : ESTERO
State : FL
Zip : 33929-0895
Country : US
Telephone Number : 239-494-4900
Fax Number : 239-494-8444
Provider Business Practice Location Address
First Line : 3501 HEALTH CENTER BLVD
Second Line : SUITE 2170
City : BONITA SPRINGS
State : FL
Zip : 34135-8127
Country : US
Telephone Number : 239-494-4900
Fax Number : 239-494-8444
Authorized Official
Title or Position : BILLING MGR
Name : MS. LISA M CLIFFORD
Credential : CPC
Telephone Number : 239-325-2088
Provider Enumeration Date : 05/20/2010
Last Update Date : 01/18/2013

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Directions to “NADIA KAZIM MD PA ” Practice Location

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