Doctor Name: | DR. SCOTT D. KAZDAN |
NPI Number: | 1851305635 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS0006354 |
Business Practice Address: | 601 N Flamingo Rd 209 Pembroke Pines, FL - 330281015 |
Business Phone Number: | 9544427616 |
Business Fax Number: | 9544426234 |
Mailing Address: | 601 N Flamingo Rd, 209 PEMBROKE PINES |
State: | FL |
Postal Code: | 330281015 |
Phone Number: | 9544427616 |
Fax Number: | 9544426234 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | OS0006354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |