Provider Demographics
NPI:1164404414
Name:ZEKE-ZULU INVESTMENTS INC
Entity Type:Organization
Organization Name:ZEKE-ZULU INVESTMENTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED ORTHOTIST PROSTHETIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:407-999-8977
Mailing Address - Street 1:115 W COLUMBIA ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1046
Mailing Address - Country:US
Mailing Address - Phone:407-999-8977
Mailing Address - Fax:407-999-0057
Practice Address - Street 1:115 W COLUMBIA ST
Practice Address - Street 2:SUITE A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1046
Practice Address - Country:US
Practice Address - Phone:407-999-8977
Practice Address - Fax:407-999-0057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL952029500Medicaid
FLM2445OtherBLUE CROSS BLUE SHIELD
FL1215030001Medicare ID - Type Unspecified