Provider Demographics
NPI:1801846407
Name:PROMES, ZAHRA G (MD)
Entity Type:Individual
Prefix:
First Name:ZAHRA
Middle Name:G
Last Name:PROMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N LAKEMONT AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3228
Mailing Address - Country:US
Mailing Address - Phone:407-644-3726
Mailing Address - Fax:407-644-4594
Practice Address - Street 1:201 N LAKEMONT AVE
Practice Address - Street 2:SUITE 700
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3228
Practice Address - Country:US
Practice Address - Phone:407-644-3726
Practice Address - Fax:407-644-4594
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME83946207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF91516Medicare UPIN
FL57917AMedicare ID - Type Unspecified