Provider Demographics
NPI:1891181483
Name:ZEUS MEDICAL CENTER CORP
Entity Type:Organization
Organization Name:ZEUS MEDICAL CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-200-5160
Mailing Address - Street 1:2260 SW 8TH ST
Mailing Address - Street 2:STE 300A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4924
Mailing Address - Country:US
Mailing Address - Phone:305-200-5160
Mailing Address - Fax:786-615-2636
Practice Address - Street 1:2260 SW 8TH ST
Practice Address - Street 2:STE 300A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4924
Practice Address - Country:US
Practice Address - Phone:305-200-5160
Practice Address - Fax:786-615-2636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service