MEDICARE: ZARA MALIK

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	224Z00000X	Occupational Therapy Assistant	341492	FL

General Provider Information

NPI Number	:	1063882637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZARA MALIK

Provider Business Mailing Address
First Line	:	2424 NORTH CENTRAL AVENUE
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741
Country	:	US
Telephone Number	:	407-616-1211
Fax Number	:

Provider Business Practice Location Address
First Line	:	2424 NORTH CENTRAL AVENUE
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741
Country	:	US
Telephone Number	:	407-616-1211
Fax Number	:

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

Provider Enumeration Date	:	09/25/2015
Last Update Date	:	09/25/2015

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Directions to “ ZARA MALIK ” Practice Location

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