Healthcare Provider Details

I. General information

NPI: 1801864137
Provider Name (Legal Business Name): MICHAEL PRESTON ZAHALSKY M.D., P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MICHAEL P ZAHALSKY MD, PA

II. Dates (important events)

Enumeration Date: 03/11/2006
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 CORAL RIDGE DR SUITE 106
CORAL SPRINGS FL
33076-3378
US

IV. Provider business mailing address

5850 CORAL RIDGE DRIVE SUITE 106
CORAL SPRINGS FL
33076-1600
US

V. Phone/Fax

Practice location:
  • Phone: 954-714-8200
  • Fax: 954-840-2626
Mailing address:
  • Phone: 954-714-8200
  • Fax: 954-840-2626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME93599
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: