Provider Demographics
NPI:1508675224
Name:ZEUS MEDICAL GROUP LLC
Entity type:Organization
Organization Name:ZEUS MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARICEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAN-CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-338-1403
Mailing Address - Street 1:31 E THOMAS RD APT 539
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-0059
Mailing Address - Country:US
Mailing Address - Phone:702-338-1403
Mailing Address - Fax:
Practice Address - Street 1:1150 N COUNTRY CLUB DR STE 2
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-2537
Practice Address - Country:US
Practice Address - Phone:702-338-1403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty