Provider Demographics
NPI:1588018527
Name:ZAIDI, SARA AZHAR (DPM)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:AZHAR
Last Name:ZAIDI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:221 GREENWICH CIR STE 105
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2892
Mailing Address - Country:US
Mailing Address - Phone:561-799-9581
Mailing Address - Fax:561-799-0062
Practice Address - Street 1:2664 SW IMMANUEL DR
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-2738
Practice Address - Country:US
Practice Address - Phone:772-288-3338
Practice Address - Fax:772-288-3341
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO4087213E00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program