Healthcare Provider Details

I. General information

NPI: 1902556897
Provider Name (Legal Business Name): ZOTARE MEDICAL SUPPLY AND TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 SHOW DR
ORLANDO FL
32828-7416
US

IV. Provider business mailing address

1219 SHOW DR
ORLANDO FL
32828-7416
US

V. Phone/Fax

Practice location:
  • Phone: 407-230-2290
  • Fax:
Mailing address:
  • Phone: 407-230-2290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: YARELY MARRERO
Title or Position: PRES
Credential:
Phone: 407-230-2290