Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Dazen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306422878

Kevin Dazen, MD is an Anesthesiology in Miami, Florida. Graduated from Rutgers New Jersey Medical School in 2021, 5 years ago. Practices with Greater Florida Anesthesiologists LLC, a 318-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Trained at
Rutgers New Jersey Medical School
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (609) 781-4619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 173852 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306422878
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESMay 27, 2025
Certification dateApril 30, 2025
Mailing address1611 Nw 12th Ave, Miami, FL 33136-1005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Group practice Greater Florida Anesthesiologists Llc — 318 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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