KAZAMIAS AND KAZAMIAS, PA
Podiatry at Colony Lake Dr, Boynton Beach, FL

License number
Florida PO2606
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. MICHAEL KAZAMIAS DPM
Title: CEO
Phone: (561) 963-7465
Address
Address
7512 Colony Lake Dr, Boynton Beach, FL 33436
National Provider ID: 1619145703
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KAZAMIAS AND KAZAMIAS, PA

7512 Colony Lk Dr, Boynton Beach, FL 33436

Status:
Inactive
Inactive reason:
Cancel Adm Diss/rev
Registration:
May 10, 2002
Inactive since:
Nov 30, 2009
State ID:
P02000052305
Business type:
Florida Profit Corporation
S:
Michael Td.p.m. Kazamias, 7512 Colony Lk Dr, Boynton Beach, FL 33436 (Physical),Jennifer Rd.p.m. Kazamias, 7512 Colony Lk Dr, Boynton Beach, FL 33436 (Physical)
Agent:
Kazamias, Michael, Dr,7512 Colony Lk Dr, Boynton Beach, FL 33436 (Physical)
FEI/EIN:
04-3665421

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