Healthcare Provider Details

I. General information

NPI: 1790933505
Provider Name (Legal Business Name): STEVEN J ZORN OD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 07/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8889 W COLONIAL DR
OCOEE FL
34761-6951
US

IV. Provider business mailing address

8889 W COLONIAL DR
OCOEE FL
34761-6951
US

V. Phone/Fax

Practice location:
  • Phone: 407-298-4631
  • Fax: 407-298-3311
Mailing address:
  • Phone: 407-298-4631
  • Fax: 407-298-3311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN J ZORN
Title or Position: OPTOMETRIST
Credential: OD PA
Phone: 407-298-4631