MEDICARE: NAUMAN ZAFFAR M.D

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
1	207R00000X	Internal Medicine Physician	ME112902	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346362357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAUMAN ZAFFAR M.D

Provider Business Mailing Address
First Line	:	7810 LAKE WILSON RD
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33896-9605
Country	:	US
Telephone Number	:	863-420-7617
Fax Number	:	863-420-7619

Provider Business Practice Location Address
First Line	:	7810 LAKE WILSON RD
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33896-9605
Country	:	US
Telephone Number	:	863-420-7617
Fax Number	:	863-420-7619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/02/2023

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