Provider Demographics
NPI:1467052340
Name:ZAMORA, OSMAY M (LMT)
Entity Type:Individual
Prefix:
First Name:OSMAY
Middle Name:M
Last Name:ZAMORA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:698 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-2828
Mailing Address - Country:US
Mailing Address - Phone:786-376-1621
Mailing Address - Fax:
Practice Address - Street 1:698 W 15TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-2828
Practice Address - Country:US
Practice Address - Phone:786-376-1621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224ZE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantEnvironmental Modification