Provider Demographics
NPI:1083625420
Name:ZAK, PAUL J (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:ZAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4625 EAST BAY DRIVE
Mailing Address - Street 2:SUITE 222
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764
Mailing Address - Country:US
Mailing Address - Phone:727-548-4880
Mailing Address - Fax:727-548-4881
Practice Address - Street 1:4625 EAST BAY DRIVE
Practice Address - Street 2:SUITE 222
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764
Practice Address - Country:US
Practice Address - Phone:727-548-4880
Practice Address - Fax:727-548-4881
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0054576207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE88423Medicare UPIN
FL10618ZMedicare ID - Type Unspecified