Healthcare Provider Details

I. General information

NPI: 1205538535
Provider Name (Legal Business Name): ZENACARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16800 NW 2ND AVE SUITE 306A
MIAMI FL
33169-5508
US

IV. Provider business mailing address

16800 NW 2ND AVE SUITE 306A
MIAMI FL
33169-5508
US

V. Phone/Fax

Practice location:
  • Phone: 754-255-1500
  • Fax: 754-255-1400
Mailing address:
  • Phone: 754-255-1500
  • Fax: 754-255-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. OLEG LUSHER
Title or Position: PRESIDENT
Credential:
Phone: 754-255-1500