Provider Demographics
NPI:1063442317
Name:ZAKI, SAMIA FAHMI (MD)
Entity Type:Individual
Prefix:
First Name:SAMIA
Middle Name:FAHMI
Last Name:ZAKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8660 W FLAGLER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2031
Mailing Address - Country:US
Mailing Address - Phone:305-227-3884
Mailing Address - Fax:305-554-4833
Practice Address - Street 1:9915 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2352
Practice Address - Country:US
Practice Address - Phone:305-227-3884
Practice Address - Fax:305-554-4833
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78986207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
17427OtherBCBS FL
FL263425200Medicaid
17427OtherBCBS FL
FL263425200Medicaid