Provider Demographics
NPI:1467646091
Name:ZAMORA, FELIX DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:DANIEL
Last Name:ZAMORA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S # MS 21110Q
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:651-254-0063
Mailing Address - Fax:651-254-5535
Practice Address - Street 1:640 JACKSON ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2502
Practice Address - Country:US
Practice Address - Phone:651-254-0063
Practice Address - Fax:651-254-5535
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2020-10-20
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Provider Licenses
StateLicense IDTaxonomies
MN54016207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease