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General NPI Number Information
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NPI Number | 1063673630
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Entity Type | Individual
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Provider Name | RAMY MOHAMED ZAKI NASR MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 16504 US 301 S
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City | WIMAUMA
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State | FL
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Zip | 33598-2041
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Country | US
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Telephone | 813-642-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 16057 TAMPA PALMS BLVD W STE 588
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City | TAMPA
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State | FL
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Zip | 33647-2001
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Country | US
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Telephone | 703-626-0548
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Fax | 240-238-7234
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | ME117829
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME117829
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License Number State | FL
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