Provider Demographics
NPI:1952343923
Name:ZAIAS, NARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:NARDO
Middle Name:
Last Name:ZAIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4308 ALTON RD
Mailing Address - Street 2:SUITE 750
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4556
Mailing Address - Country:US
Mailing Address - Phone:305-532-4478
Mailing Address - Fax:305-532-9753
Practice Address - Street 1:4308 ALTON RD
Practice Address - Street 2:SUITE 750
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4556
Practice Address - Country:US
Practice Address - Phone:305-532-4478
Practice Address - Fax:305-532-9753
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME7782174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03613900Medicaid
FL03613900Medicaid
FLD59325Medicare UPIN