Provider Demographics
NPI:1558866657
Name:WELLS, ZACHARY S (DO)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:S
Last Name:WELLS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:13020 N TELECOM PKWY
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-0925
Mailing Address - Country:US
Mailing Address - Phone:813-978-9700
Mailing Address - Fax:
Practice Address - Street 1:3890 TAMPA RD STE 202
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3677
Practice Address - Country:US
Practice Address - Phone:727-787-5577
Practice Address - Fax:727-781-7757
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT018636207XS0114X, 207XS0114X
FLOS19643207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery