Provider Demographics
NPI:1831634344
Name:ZENO MEDICAL CENTER CORP
Entity type:Organization
Organization Name:ZENO MEDICAL CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-482-5717
Mailing Address - Street 1:330 SW 27TH AVE
Mailing Address - Street 2:SUITE 706
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2961
Mailing Address - Country:US
Mailing Address - Phone:786-482-5717
Mailing Address - Fax:786-482-5970
Practice Address - Street 1:330 SW 27TH AVE
Practice Address - Street 2:SUITE 706
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2961
Practice Address - Country:US
Practice Address - Phone:786-482-5717
Practice Address - Fax:786-482-5970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME62905261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherGENERAL MEDICINE