Provider Demographics
NPI:1922160308
Name:ZAIDI, SYED I (MD FACP)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:I
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:MD FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13090 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3733
Mailing Address - Country:US
Mailing Address - Phone:772-589-3755
Mailing Address - Fax:772-589-2315
Practice Address - Street 1:13090 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3733
Practice Address - Country:US
Practice Address - Phone:772-589-3755
Practice Address - Fax:772-589-2315
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0061460207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL370614100Medicaid
FL15106ZMedicare ID - Type Unspecified
FLK3375Medicare ID - Type Unspecified
F34607Medicare UPIN