Healthcare Provider Details

I. General information

NPI: 1093420127
Provider Name (Legal Business Name): SYED FARHAN ZAIDI MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 BABCOCK ST NE STE 304
PALM BAY FL
32905-4648
US

IV. Provider business mailing address

PO BOX 372889
SATELLITE BEACH FL
32937-0889
US

V. Phone/Fax

Practice location:
  • Phone: 321-914-3487
  • Fax: 800-813-9164
Mailing address:
  • Phone: 321-914-3487
  • Fax: 800-813-9164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HART MEYRICH
Title or Position: BUSINESS MANAGER
Credential:
Phone: 407-340-9039