Healthcare Provider Details

I. General information

NPI: 1912317769
Provider Name (Legal Business Name): ZEPHIR MEDICAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 10/07/2022
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28899 SOUTH DIXIE HIGHWAY
NARANJA FL
33030
US

IV. Provider business mailing address

28899 S DIXIE HWY
HOMESTEAD FL
33033-2406
US

V. Phone/Fax

Practice location:
  • Phone: 786-298-7236
  • Fax:
Mailing address:
  • Phone: 786-298-7236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberOS11818
License Number StateFL

VIII. Authorized Official

Name: JOHANNE A ZEPHIR
Title or Position: OWNER
Credential: DO
Phone: 305-247-7500