Provider Demographics
NPI:1770647240
Name:SMITH, ZACHARY FLOYD
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:FLOYD
Last Name:SMITH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 FUNSTON LOOP APT E
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-2159
Mailing Address - Country:US
Mailing Address - Phone:808-842-2930
Mailing Address - Fax:808-842-2956
Practice Address - Street 1:1629 FUNSTON LOOP APT E
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-2159
Practice Address - Country:US
Practice Address - Phone:808-842-2930
Practice Address - Fax:808-842-2956
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other