MEDICARE: Z MEDICAL CENTER INC

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	261QP2300X	Primary Care Clinic/Center	P14000043063	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	HV 362A	OTHER	FL	MEDICARE PTAN

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
2	12646942	OTHER	FL	CAQH ID
3	ME112902	OTHER	FL	MEDICAL LICENSE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699186361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Z MEDICAL CENTER INC

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	:	CEO
Name	:	NAUMAN ZAFFAR
Credential	:	MD
Telephone Number	:	863-420-7617

Provider Enumeration Date	:	05/15/2014
Last Update Date	:	03/07/2023

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Directions to “Z MEDICAL CENTER INC ” Practice Location

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