Healthcare Provider Details
I. General information
NPI: 1932717089
Provider Name (Legal Business Name): ZEI GEZUNT HEALTHCARE PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2020
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3800 S OCEAN DR STE 230
HOLLYWOOD FL
33019-2930
US
IV. Provider business mailing address
200 SUNNY ISLES BLVD # TH-305
SUNNY ISLES BEACH FL
33160-4398
US
V. Phone/Fax
- Phone: 732-266-1399
- Fax:
- Phone: 773-512-1161
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 305S00000X |
| Taxonomy | Point of Service |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DIMITRI
M
GITELMAKER
Title or Position: PRESIDENT
Credential: MD
Phone: 732-266-1399