Provider Demographics
NPI:1467194878
Name:DR Z OFFICE LLC
Entity Type:Organization
Organization Name:DR Z OFFICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:
Authorized Official - First Name:AMER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEIZOUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-684-9728
Mailing Address - Street 1:PO BOX 85003
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33008-5003
Mailing Address - Country:US
Mailing Address - Phone:954-684-9728
Mailing Address - Fax:
Practice Address - Street 1:20200 W DIXIE HWY STE 1108
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1922
Practice Address - Country:US
Practice Address - Phone:954-684-9728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care