Healthcare Provider Details

I. General information

NPI: 1235784752
Provider Name (Legal Business Name): HUSSAIN ZHIAN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2019
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 S STATE ROAD 434 STE 1049
ALTAMONTE SPRINGS FL
32714-3859
US

IV. Provider business mailing address

1727 BRACKENHURST PL
LAKE MARY FL
32746-4608
US

V. Phone/Fax

Practice location:
  • Phone: 888-306-9302
  • Fax:
Mailing address:
  • Phone: 763-273-6884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9112352
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: