Healthcare Provider Details

I. General information

NPI: 1295630465
Provider Name (Legal Business Name): TINA ZEIMARAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3251 HOLLYWOOD BLVD STE 300
HOLLYWOOD FL
33021-6943
US

IV. Provider business mailing address

3251 HOLLYWOOD BLVD STE 300
HOLLYWOOD FL
33021-6943
US

V. Phone/Fax

Practice location:
  • Phone: 954-962-5373
  • Fax:
Mailing address:
  • Phone: 954-962-5373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71679
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: