MEDICARE: DR. FATHY ZAKI SAAD M.D. M.P.H.

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	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	ME77252	FL

General Provider Information

NPI Number	:	1235349127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FATHY ZAKI SAAD M.D. M.P.H.

Provider Business Mailing Address
First Line	:	20353 CHESTNUT GROVE DRIVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647
Country	:	US
Telephone Number	:	813-486-4232
Fax Number	:

Provider Business Practice Location Address
First Line	:	20353 CHESTNUT GROVE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3345
Country	:	US
Telephone Number	:	813-486-4232
Fax Number	:

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	07/08/2007

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