Provider Demographics
NPI:1205538535
Name:ZENACARE CORP
Entity type:Organization
Organization Name:ZENACARE CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:LUSHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-255-1500
Mailing Address - Street 1:16800 NW 2ND AVE STE 306A
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5508
Mailing Address - Country:US
Mailing Address - Phone:754-255-1500
Mailing Address - Fax:754-255-1400
Practice Address - Street 1:16800 NW 2ND AVE STE 306A
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5508
Practice Address - Country:US
Practice Address - Phone:754-255-1500
Practice Address - Fax:754-255-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch