Healthcare Provider Details

I. General information

NPI: 1356928469
Provider Name (Legal Business Name): SYED TAHA ZAIDI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 S ORANGE AVE
ORLANDO FL
32806-1215
US

IV. Provider business mailing address

1222 S ORANGE AVE
ORLANDO FL
32806-1215
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-6444
  • Fax: 321-842-1569
Mailing address:
  • Phone: 321-841-6444
  • Fax: 321-842-1569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberOS23515
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: