Individual
SRINIVAS KAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 JOHN F KENNEDY DR, ATLANTIS, FL 33462-1159
(561) 439-1500
(561) 439-9902
Mailing address
2326 S CONGRESS AVE STE 2D, WEST PALM BEACH, FL 33406-7614
(561) 801-1223
(561) 828-3974
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME97552
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000612400
—
FL
Enumeration date
07/04/2006
Last updated
12/18/2019
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