Provider Demographics
NPI:1225295728
Name:MYINT, ZAW (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAW
Middle Name:
Last Name:MYINT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 91988
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33804-1988
Mailing Address - Country:US
Mailing Address - Phone:863-686-2728
Mailing Address - Fax:863-686-6737
Practice Address - Street 1:135 E 1ST ST
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-4609
Practice Address - Country:US
Practice Address - Phone:863-686-2728
Practice Address - Fax:863-686-6737
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 107271207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002463700Medicaid
FLDL685ZMedicare UPIN