Provider Demographics
NPI:1548763394
Name:ZENITH HEALTHCARE LLC
Entity Type:Organization
Organization Name:ZENITH HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEFANI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:618-318-5438
Mailing Address - Street 1:12643 HARNEY ST
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-2694
Mailing Address - Country:US
Mailing Address - Phone:618-318-5438
Mailing Address - Fax:941-584-9146
Practice Address - Street 1:832 SUNSET LAKE BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-7550
Practice Address - Country:US
Practice Address - Phone:941-492-5313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty