Healthcare Provider Details

I. General information

NPI: 1134214372
Provider Name (Legal Business Name): ZAFER A TERMANINI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 10/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2402 FRIST BLVD STE 102
FORT PIERCE FL
34950-4838
US

IV. Provider business mailing address

2402 FRIST BLVD STE 102
FORT PIERCE FL
34950-4838
US

V. Phone/Fax

Practice location:
  • Phone: 772-465-4651
  • Fax: 772-465-4606
Mailing address:
  • Phone: 772-465-4651
  • Fax: 772-465-4606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMA38488
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberME114566
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: