Provider Demographics
NPI:1821258542
Name:ZETA HEALTH SERVICES CORPORATION
Entity Type:Organization
Organization Name:ZETA HEALTH SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:IGNACIO
Authorized Official - Last Name:ARAUJO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:786-953-6478
Mailing Address - Street 1:42 NW 27TH AVE
Mailing Address - Street 2:SUITE 321-A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-5127
Mailing Address - Country:US
Mailing Address - Phone:305-261-8600
Mailing Address - Fax:305-261-8601
Practice Address - Street 1:42 NW 27TH AVE
Practice Address - Street 2:SUITE 321-A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-5127
Practice Address - Country:US
Practice Address - Phone:786-953-6478
Practice Address - Fax:786-953-6479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation