Healthcare Provider Details

I. General information

NPI: 1841137403
Provider Name (Legal Business Name): JAWAD ZAFAR MAYO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11375 CORTEZ BLVD BROOKSVILLE FL 34613(HCA FLORIDA OAKH
BROOKVILLE FL
34613
US

IV. Provider business mailing address

11375 CORTEZ BLVD BROOKSVILLE FL 34613(HCA FLORIDA OAKH
BROOKVILLE FL
34613
US

V. Phone/Fax

Practice location:
  • Phone: 352-596-6632
  • Fax: 352-597-6173
Mailing address:
  • Phone: 352-596-6632
  • Fax: 352-597-6173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: