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NPI Code Detail

MEDICARE: ROGER L ZEMA DPM

MEDICARE:   ROGER L ZEMA  DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristPO3320FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
165979OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346221306
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER L ZEMA DPM
Provider Business Mailing Address
First Line : 5535 S WILLIAMSON BLVD
Second Line : STE 727
City : PORT ORANGE
State : FL
Zip : 32128-8312
Country : US
Telephone Number : 904-501-7635
Fax Number : 386-333-6456
Provider Business Practice Location Address
First Line : 6487 JUSTIN CT
Second Line :
City : PORT ORANGE
State : FL
Zip : 32128-7339
Country : US
Telephone Number : 904-501-7635
Fax Number : 386-333-6456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 10/24/2019

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Directions to “ ROGER L ZEMA DPM” Practice Location

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