MEDICARE: MARINA BAHER ZAKHARY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		FL

General Provider Information

NPI Number	:	1063354488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARINA BAHER ZAKHARY MD

Provider Business Mailing Address
First Line	:	1862 VALLEY WOOD WAY
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-6278
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5440 LINTON BLVD
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6512
Country	:	US
Telephone Number	:	561-334-6240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/08/2026

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