Provider Demographics
NPI:1750338786
Name:KAZIM, NADIA AMEENA (MD)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:AMEENA
Last Name:KAZIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3501 HEALTH CENTER BLVD
Mailing Address - Street 2:SUITE 2170
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-8127
Mailing Address - Country:US
Mailing Address - Phone:239-494-4900
Mailing Address - Fax:239-494-8444
Practice Address - Street 1:7331 COLLEGE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5524
Practice Address - Country:US
Practice Address - Phone:239-947-4042
Practice Address - Fax:239-390-9976
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2024-12-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME101870207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAK785ZMedicare PIN