Healthcare Provider Details
I. General information
NPI: 1730591322
Provider Name (Legal Business Name): ZARA SAYED D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/30/2014
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
807 CHILDRENS WAY
JACKSONVILLE FL
32207-8426
US
IV. Provider business mailing address
10140 CENTURION PKWY N
JACKSONVILLE FL
32256-0532
US
V. Phone/Fax
- Phone: 904-697-3600
- Fax: 904-687-3927
- Phone: 904-697-4100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 036142889 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0214X |
| Taxonomy | Pediatric Pulmonology Physician |
| License Number | 036142889 |
| License Number State | IL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0214X |
| Taxonomy | Pediatric Pulmonology Physician |
| License Number | OS20720 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: