MEDICARE: DR. HADAS ZACHOR 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
1	2084P0800X	Psychiatry Physician	25IA13030300	NJ
2	2084P0800X	Psychiatry Physician	ME159435	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	:	1699205534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HADAS ZACHOR MD

Provider Business Mailing Address
First Line	:	1931 CORDOVA RD UNIT 2005
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2157
Country	:	US
Telephone Number	:	407-205-2007
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 SAXON BLVD
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8468
Country	:	US
Telephone Number	:	407-205-2007
Fax Number	:

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

Provider Enumeration Date	:	06/13/2017
Last Update Date	:	03/23/2026

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Directions to “ DR. HADAS ZACHOR MD” Practice Location

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