Maza, Richard Kazdin
Maza, Richard Kazdin is an sole proprietor health care provider with primary practice located at 3253 N Mcmullen Booth Rd Suite 200, Clearwater FL 33761-2043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Maza, Richard Kazdin can be contacted via phone (727) 725-6170.Contact Information
Primary practice address
3253 N Mcmullen Booth Rd Suite 200
Clearwater FL 33761-2043
Phone: (727) 725-6170
Fax: (727) 799-3511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME37253 | Florida |
Profile Details
| NPI number | 1861490872 |
|---|---|
| LBN Legal business name | Maza, Richard Kazdin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Feb 14th, 2024 - 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 | 1861490872 | NPPES |
| Florida | MEDICAID | 065643700 |
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