Provider Demographics
NPI:1114455490
Name:ZAMOYSKI, LLC
Entity Type:Organization
Organization Name:ZAMOYSKI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER/OT
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMOYSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR
Authorized Official - Phone:305-947-7788
Mailing Address - Street 1:325 S BISCAYNE BLVD APT 2619
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2473
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17100 COLLINS AVE STE 210
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3675
Practice Address - Country:US
Practice Address - Phone:305-947-7788
Practice Address - Fax:305-947-5458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-31
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14786261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine