Provider Demographics
NPI:1457002545
Name:ZAGURY, AVIRAM
Entity Type:Individual
Prefix:
First Name:AVIRAM
Middle Name:
Last Name:ZAGURY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 ANGLERS AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6654
Mailing Address - Country:US
Mailing Address - Phone:954-471-5348
Mailing Address - Fax:
Practice Address - Street 1:5555 ANGLERS AVE STE 8
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6654
Practice Address - Country:US
Practice Address - Phone:954-471-5348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management