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MARISSA AMINA KAZIM PA-C
NPI 1396246005
Physician Assistant in Fort Lauderdale, FL

Active since February 27, 2018
3465 GALT OCEAN DR STE 101, FORT LAUDERDALE, FL 33308(954) 566-7775 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Amina Kazim Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA AMINA KAZIM PA-C (NPI 1396246005) is an individual physician assistant in Fort Lauderdale, Florida, licensed in Florida (PA9111047) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1396246005
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA AMINA KAZIMCredential: PA-C
Location Address3465 GALT OCEAN DR STE 101Fort Lauderdale, FL 33308-7077
Mailing Address3465 Galt Ocean Dr Ste 101Fort Lauderdale, FL 33308-7077
Phone(954) 566-7775
Sole ProprietorNo
Enumeration DateFebruary 27, 2018
✔ NPI 1396246005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9111047
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3465 GALT OCEAN DR STE 101, Fort Lauderdale, FL 33308
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIERMD VIP HEALTHCARE LLC
Exclusive Provider Organization
3465 GALT OCEAN DR STE 101
FORT LAUDERDALE, FL 33308
Broward County (954) 566-7775
CARLO A SCALIA M.D.
Internal Medicine
3465 GALT OCEAN DR STE 101
FT LAUDERDALE, FL 33308
Broward County (954) 566-7775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Kazim's NPI number?

The NPI number for Marissa Kazim is 1396246005. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Marissa Kazim located?

Marissa Kazim practices at 3465 Galt Ocean Dr Ste 101, Fort Lauderdale, FL 33308. The listed phone number is (954) 566-7775.

What is Marissa Kazim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marissa Kazim was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.