Provider Demographics
NPI:1467084665
Name:DR ZANE ZYNDA LLC
Entity Type:Organization
Organization Name:DR ZANE ZYNDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZYNDA
Authorized Official - Suffix:
Authorized Official - Credentials:DOM, AP
Authorized Official - Phone:941-302-3932
Mailing Address - Street 1:PO BOX 20746
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34276-3746
Mailing Address - Country:US
Mailing Address - Phone:941-302-3932
Mailing Address - Fax:941-884-1484
Practice Address - Street 1:6981 CURTISS AVE STE 6
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8111
Practice Address - Country:US
Practice Address - Phone:941-302-3932
Practice Address - Fax:941-882-1484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center