Healthcare Provider Details

I. General information

NPI: 1134091069
Provider Name (Legal Business Name): ASAD ZAFAR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9801 BELVEDERE RD
ROYAL PALM BEACH FL
33411-3640
US

IV. Provider business mailing address

19274 CLOISTER LAKE LN
BOCA RATON FL
33498-4856
US

V. Phone/Fax

Practice location:
  • Phone: 561-289-6369
  • Fax:
Mailing address:
  • Phone: 561-289-6369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9120486
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: