Healthcare Provider Details

I. General information

NPI: 1275920209
Provider Name (Legal Business Name): HZ PLASTIC SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 04/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7575 DR PHILLIPS BLVD SUITE 10
ORLANDO FL
32819-7216
US

IV. Provider business mailing address

7575 DR PHILLIPS BLVD SUITE 10
ORLANDO FL
32819-7216
US

V. Phone/Fax

Practice location:
  • Phone: 407-377-5438
  • Fax: 407-386-6188
Mailing address:
  • Phone: 407-377-5438
  • Fax: 407-386-6188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberOS12290
License Number StateFL

VIII. Authorized Official

Name: DR. HARUN ZEKIROVSKI
Title or Position: OWNER/PHYSICIAN
Credential: D.O.
Phone: 407-319-2552