Healthcare Provider Details
I. General information
NPI: 1245689835
Provider Name (Legal Business Name): ATTA & ZAAS. LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/06/2016
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5555 W BLUE HERON BLVD
RIVIERA BEACH FL
33418-7815
US
IV. Provider business mailing address
P O BOX. 32355
PALM BEACH GARDENS FL
33410
US
V. Phone/Fax
- Phone: 954-686-6577
- Fax: 954-245-0458
- Phone: 786-487-1395
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MOHAMMAD
N
NASAR
Title or Position: DIRECTOR
Credential:
Phone: 786-487-1395