Healthcare Provider Details

I. General information

NPI: 1952747255
Provider Name (Legal Business Name): ZAM HHS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 09/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10402 TECOMA DR
TRINITY FL
34655-5049
US

IV. Provider business mailing address

10402 TECOMA DR
TRINITY FL
34655-5049
US

V. Phone/Fax

Practice location:
  • Phone: 727-372-3918
  • Fax:
Mailing address:
  • Phone: 727-372-3918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON MAZZA
Title or Position: PRESIDENT / CO-OWNER
Credential: CSA, SA-C, OA-C, OTC
Phone: 727-372-3918