Provider Demographics
NPI:1831322304
Name:ZAKI, F. ALFONS (DDS)
Entity Type:Individual
Prefix:DR
First Name:F.
Middle Name:ALFONS
Last Name:ZAKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 CLARK RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8432
Mailing Address - Country:US
Mailing Address - Phone:941-552-9387
Mailing Address - Fax:
Practice Address - Street 1:3333 CLARK RD
Practice Address - Street 2:SUITE 140
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8432
Practice Address - Country:US
Practice Address - Phone:917-586-5691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054494-11223G0001X
FLDN200411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice