Provider Demographics
NPI:1093420127
Name:SYED FARHAN ZAIDI MD PLLC
Entity Type:Organization
Organization Name:SYED FARHAN ZAIDI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HART
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-340-9039
Mailing Address - Street 1:PO BOX 372889
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-0889
Mailing Address - Country:US
Mailing Address - Phone:321-914-3487
Mailing Address - Fax:800-813-9164
Practice Address - Street 1:5200 BABCOCK ST NE STE 304
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-4648
Practice Address - Country:US
Practice Address - Phone:321-914-3487
Practice Address - Fax:800-813-9164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty