MEDICARE: RICARDO ZAMY SA-C

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	246ZC0007X	Surgical Assistant	238000681	IL

General Provider Information

NPI Number	:	1275157877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO ZAMY SA-C

Provider Business Mailing Address
First Line	:	1009 S KIRKMAN RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-3205
Country	:	US
Telephone Number	:	321-946-3433
Fax Number	:

Provider Business Practice Location Address
First Line	:	1009 S KIRKMAN RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-3205
Country	:	US
Telephone Number	:	321-946-3433
Fax Number	:

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

Provider Enumeration Date	:	05/31/2020
Last Update Date	:	05/31/2020

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Directions to “ RICARDO ZAMY SA-C” Practice Location

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