Provider Demographics
NPI:1891468716
Name:ZEAS, HARRY ALEXANDER (PTA)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:ALEXANDER
Last Name:ZEAS
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17401 NW 48TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-3605
Mailing Address - Country:US
Mailing Address - Phone:786-712-6641
Mailing Address - Fax:
Practice Address - Street 1:1500 NW 89TH CT STE 208
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2645
Practice Address - Country:US
Practice Address - Phone:786-542-5867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA29808208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation