Provider Demographics
NPI:1578601068
Name:NAHAS, ZAYNA A (MD)
Entity Type:Individual
Prefix:
First Name:ZAYNA
Middle Name:A
Last Name:NAHAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 NW PEACOCK BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2349
Mailing Address - Country:US
Mailing Address - Phone:772-446-4230
Mailing Address - Fax:
Practice Address - Street 1:260 NW PEACOCK BLVD STE 201
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-2349
Practice Address - Country:US
Practice Address - Phone:772-446-4230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME112081207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14M5POtherFLORIDA BLUE
FL14M5POtherFLORIDA BLUE
GK260UMedicare PIN