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
Fax: (727) 799-3511
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861490872 NPPES
Florida MEDICAID 065643700

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