Provider Demographics
NPI:1386854032
Name:SARGI, ZOUKAA B (MD)
Entity Type:Individual
Prefix:DR
First Name:ZOUKAA
Middle Name:B
Last Name:SARGI
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 1:1475 NW 12TH AVE # 4023
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1002
Mailing Address - Country:US
Mailing Address - Phone:305-243-5276
Mailing Address - Fax:305-243-1283
Practice Address - Street 1:1475 NW 12TH AVE # 4023
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1002
Practice Address - Country:US
Practice Address - Phone:305-243-5276
Practice Address - Fax:305-243-1283
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN8563390200000X
FLMFC1631207Y00000X
FLME 102892207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAM480 ZMedicare PIN