=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467194878
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | Z HEALTH PRIMARY CARE GROUP, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2022
-----------------------------------------------------
Last Update Date | 04/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7050 NW 4TH ST STE 302
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33317-2247
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-999-5096
-----------------------------------------------------
Fax | 954-999-5283
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7050 NW 4TH ST STE 302
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33317-2247
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-684-9728
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AMBR
-----------------------------------------------------
Name | AMER ZEIZOUN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 954-684-9728
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------