Provider Demographics
NPI:1639372444
Name:ZAKI MEDICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:ZAKI MEDICAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZAFAR
Authorized Official - Middle Name:IQBAL
Authorized Official - Last Name:SHARAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-589-1205
Mailing Address - Street 1:786 HOLDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-5047
Mailing Address - Country:US
Mailing Address - Phone:772-589-1205
Mailing Address - Fax:
Practice Address - Street 1:786 HOLDEN AVE
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-5047
Practice Address - Country:US
Practice Address - Phone:772-589-1205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89912207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI05528Medicare UPIN
FL37846YMedicare ID - Type Unspecified
FLK9787Medicare ID - Type UnspecifiedGROUP NUMBER