Healthcare Provider Details

I. General information

NPI: 1629501911
Provider Name (Legal Business Name): LISAI ZHANG D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15340 S JOG RD STE 200
DELRAY BEACH FL
33446-2170
US

IV. Provider business mailing address

7593 W BOYNTON BEACH BLVD STE 220
BOYNTON BEACH FL
33437-6162
US

V. Phone/Fax

Practice location:
  • Phone: 561-496-7200
  • Fax: 561-496-7989
Mailing address:
  • Phone: 561-493-7200
  • Fax: 561-496-7989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS16579
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: