Healthcare Provider Details

I. General information

NPI: 1457487472
Provider Name (Legal Business Name): JAMES ZELCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 S COMPASS WAY
DANIA BEACH FL
33004-2369
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 954-962-9811
  • Fax: 954-962-9811
Mailing address:
  • Phone: 305-500-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME95104
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: