Provider Demographics
NPI:1497712855
Name:ZHEIMAN, MARWAN ISMA'IL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARWAN
Middle Name:ISMA'IL
Last Name:ZHEIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5739 OLD LUCERNE PARK RD
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-8273
Mailing Address - Country:US
Mailing Address - Phone:863-419-4488
Mailing Address - Fax:863-419-4481
Practice Address - Street 1:33046 HWY 27
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-7621
Practice Address - Country:US
Practice Address - Phone:863-419-8844
Practice Address - Fax:863-419-4481
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV113582084N0400X, 2084N0600X, 2084P2900X
FLME1014372084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine