| Todd Kazdan, D.o., P.a. | |
|
6099 Stirling Rd Suite 219-222 Davie FL 33314-7234 | |
| (954) 581-7660 | |
| Not Available |
| Full Name | Todd Kazdan, D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 6099 Stirling Rd, Davie, Florida |
| Authorized Official Name and Position | Todd Jay Kazdan (PRESIDENT) |
| Authorized Official Contact | 9545817660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Kazdan, D.o., P.a. 6099 Stirling Rd Suite 219-222 Davie FL 33314-7234 Ph: (954) 581-7660 | Todd Kazdan, D.o., P.a. 6099 Stirling Rd Suite 219-222 Davie FL 33314-7234 Ph: (954) 581-7660 |
| NPI Number | 1992731434 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5991708000 |
|---|---|
| Medicare Enrollment ID | O20060810000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992731434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Todd J Kazdan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376592048 PECOS PAC ID: 3173584190 Enrollment ID: I20041022000969 |
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