Healthcare Provider Details

I. General information

NPI: 1285894675
Provider Name (Legal Business Name): SYED K ZAIDI MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6580 72ND AVE N STE A
PINELLAS PARK FL
33781-4047
US

IV. Provider business mailing address

6580 72ND AVE N STE A
PINELLAS PARK FL
33781-4047
US

V. Phone/Fax

Practice location:
  • Phone: 727-440-5612
  • Fax: 727-388-3767
Mailing address:
  • Phone: 727-440-5612
  • Fax: 727-388-3767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SYED K ZAIDI
Title or Position: OWNER
Credential: MD
Phone: 727-440-5612