Provider Demographics
NPI:1558711176
Name:GIMBEL, ZACHARY AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:AARON
Last Name:GIMBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:790 E BROWARD BLVD APT 1809
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3072
Mailing Address - Country:US
Mailing Address - Phone:954-793-5323
Mailing Address - Fax:305-674-2667
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2948
Practice Address - Country:US
Practice Address - Phone:305-695-1255
Practice Address - Fax:305-674-2667
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME146001207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program