Individual
DR. DEREK KAZIM PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3735 11TH CIR, STE 101, VERO BEACH, FL 32960-4884
(772) 569-5660
(772) 569-4343
Mailing address
3735 11TH CIR, SUITE 101, VERO BEACH, FL 32960-4844
(772) 569-5660
(772) 569-4343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0068650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251102900
—
FL
Enumeration date
06/02/2006
Last updated
06/07/2022
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