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NPI Code Detail

MEDICARE: DR. ZAKIOUS TRACEY MD

MEDICARE:  DR. ZAKIOUS  TRACEY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME180198FL

General Provider Information

NPI Number : 1104323005
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZAKIOUS TRACEY MD
Provider Business Mailing Address
First Line : 125 S STATE ROAD 7 STE 104-263
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-4385
Country : US
Telephone Number : 561-412-5717
Fax Number :
Provider Business Practice Location Address
First Line : 1027 S 21ST AVE
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-6934
Country : US
Telephone Number : 561-412-5717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2018
Last Update Date : 05/21/2026

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Directions to “ DR. ZAKIOUS TRACEY MD” Practice Location

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