Provider Demographics
NPI:1972778975
Name:ISIDORO ZARCO M.D. P.A.
Entity Type:Organization
Organization Name:ISIDORO ZARCO M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISIDORO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-443-3330
Mailing Address - Street 1:3230 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1153
Mailing Address - Country:US
Mailing Address - Phone:305-443-3330
Mailing Address - Fax:305-443-1561
Practice Address - Street 1:3230 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1153
Practice Address - Country:US
Practice Address - Phone:305-443-3330
Practice Address - Fax:305-443-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39131332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068877100Medicaid
FL0859740001Medicare NSC
FLD63878Medicare UPIN