Provider Demographics
NPI:1063673630
Name:NASR, RAMY MOHAMED ZAKI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMY
Middle Name:MOHAMED ZAKI
Last Name:NASR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16057 TAMPA PALMS BLVD W STE 588
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2001
Mailing Address - Country:US
Mailing Address - Phone:703-626-0548
Mailing Address - Fax:240-238-7234
Practice Address - Street 1:16504 US 301 S
Practice Address - Street 2:
Practice Address - City:WIMAUMA
Practice Address - State:FL
Practice Address - Zip Code:33598-2041
Practice Address - Country:US
Practice Address - Phone:813-642-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1178292083B0002X, 207P00000X
PAMD447519207P00000X
LAMD.205877207P00000X
SD8643207P00000X
IN01071805A207P00000X
PAMT194564207P00000X
FLTRN12872208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery