Provider Demographics
NPI:1518344456
Name:ARISTIDES ZACHAROUDIS PA
Entity Type:Organization
Organization Name:ARISTIDES ZACHAROUDIS PA
Other - Org Name:NORTH DIXIE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARISTIDES
Authorized Official - Middle Name:
Authorized Official - Last Name:ZACHAROUDIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-202-0555
Mailing Address - Street 1:5333 N DIXIE HWY STE 208
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-3454
Mailing Address - Country:US
Mailing Address - Phone:954-202-0555
Mailing Address - Fax:954-202-0607
Practice Address - Street 1:5333 N DIXIE HWY STE 208
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-3454
Practice Address - Country:US
Practice Address - Phone:954-202-0555
Practice Address - Fax:954-202-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty