Organization
KAZE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON MOHAMED PARAMEDIC (OWNER)
(863) 450-5293
Entity
Organization
Contact information
Practice address
4648 E COUNTY ROAD 540A, LAKELAND, FL 33813-4472
(863) 513-0673
Mailing address
4648 E COUNTY ROAD 540A, LAKELAND, FL 33813-4472
(863) 450-5293
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
251F00000X
Home Infusion Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
3336C0002X
Clinic Pharmacy
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538137518
NPI
FL
Enumeration date
03/08/2021
Last updated
03/02/2022
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