MEDICARE: DR. ABDULRAHMAN ZEINOMAR PHARMD

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	183500000X	Pharmacist	PS54775	FL

General Provider Information

NPI Number	:	1326650441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDULRAHMAN ZEINOMAR PHARMD

Provider Business Mailing Address
First Line	:	8000 ESSEX POINT CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-9118
Country	:	US
Telephone Number	:	850-319-8514
Fax Number	:

Provider Business Practice Location Address
First Line	:	5702 LEE VISTA BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-1502
Country	:	US
Telephone Number	:	407-438-2148
Fax Number	:

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

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	08/19/2020

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