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General NPI Number Information
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NPI Number | 1558866657
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Entity Type | Individual
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Provider Name | ZACHARY S WELLS DO
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Gender | Male
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 3890 TAMPA RD STE 202
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City | PALM HARBOR
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State | FL
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Zip | 34684-3677
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Country | US
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Telephone | 727-787-5577
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Fax | 727-781-7757
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Provider Business Mailing Address
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Address Line | 13020 N TELECOM PKWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-0925
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Country | US
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Telephone | 813-978-9700
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Fax |
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | OT018636
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | OS19643
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License Number State | FL
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