Provider Demographics
NPI:1073878138
Name:MOYENDA, ZAKIYA BOMANI (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAKIYA
Middle Name:BOMANI
Last Name:MOYENDA
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 1:10276 OAK MEADOW LN STE 1A
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-5467
Mailing Address - Country:US
Mailing Address - Phone:954-774-1414
Mailing Address - Fax:
Practice Address - Street 1:10276 OAK MEADOW LN STE 1A
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33449-5467
Practice Address - Country:US
Practice Address - Phone:954-774-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME121227207QA0505X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine