Provider Demographics
NPI:1346362357
Name:ZAFFAR, NAUMAN (MD)
Entity Type:Individual
Prefix:
First Name:NAUMAN
Middle Name:
Last Name:ZAFFAR
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 1:7810 LAKE WILSON RD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33896-9605
Mailing Address - Country:US
Mailing Address - Phone:863-420-7617
Mailing Address - Fax:863-420-7619
Practice Address - Street 1:7810 LAKE WILSON RD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33896-9605
Practice Address - Country:US
Practice Address - Phone:863-420-7617
Practice Address - Fax:863-420-7619
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME112902207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115701200Medicaid
FLGD543ZMedicare PIN