Provider Demographics
NPI:1225051238
Name:CUMBER, ZEHRA (DO)
Entity Type:Individual
Prefix:DR
First Name:ZEHRA
Middle Name:
Last Name:CUMBER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1955 US 1 S STE 100
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5788
Mailing Address - Country:US
Mailing Address - Phone:904-825-5055
Mailing Address - Fax:904-825-6875
Practice Address - Street 1:1955 US 1 S STE 100
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5788
Practice Address - Country:US
Practice Address - Phone:904-825-5055
Practice Address - Fax:904-825-6875
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8120207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL279779800Medicaid
FL13837ZMedicare ID - Type Unspecified
FL279779800Medicaid