Provider Demographics
NPI:1689359788
Name:FRETT, ZAKHARIA
Entity Type:Individual
Prefix:
First Name:ZAKHARIA
Middle Name:
Last Name:FRETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 SW 109TH AVE UNIT 808-C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1339
Mailing Address - Country:US
Mailing Address - Phone:321-504-8842
Mailing Address - Fax:
Practice Address - Street 1:737 SW 109TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1339
Practice Address - Country:US
Practice Address - Phone:321-504-8842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program