| John Zak Iii Pa Inc | |
|
570 Memorial Cir Ste 110 Ormond Beach FL 32174-5063 | |
| (386) 437-5980 | |
| (386) 437-5981 |
| Full Name | John Zak Iii Pa Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 570 Memorial Cir Ste 110, Ormond Beach, Florida |
| Authorized Official Name and Position | John Zak (OWNER) |
| Authorized Official Contact | 3862554425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Zak Iii Pa Inc 570 Memorial Cir Ste 110 Ormond Beach FL 32174-5063 Ph: (386) 437-5980 | John Zak Iii Pa Inc 570 Memorial Cir Ste 110 Ormond Beach FL 32174-5063 Ph: (386) 437-5980 |
| NPI Number | 1508807488 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 09/01/2023 |
| Medicare PECOS PAC ID | 9739192873 |
|---|---|
| Medicare Enrollment ID | O20080930000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508807488 | NPI | - | NPPES |
| 372114100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | John Zak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548210594 PECOS PAC ID: 9638182777 Enrollment ID: I20060718000252 |
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