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1386976009

NPI Code Detail

MEDICARE: DR. TAZEEN TAHIR ZAIDI MD

MEDICARE: DR. TAZEEN TAHIR ZAIDI MD

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	207Q00000X	Family Medicine Physician	48959	KY
2	207Q00000X	Family Medicine Physician	27139	OK
3	207Q00000X	Family Medicine Physician	ME114284	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HF013Z	OTHER	FL	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1386976009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAZEEN TAHIR ZAIDI MD

Provider Business Mailing Address
First Line	:	PO BOX 952917
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32795-2917
Country	:	US
Telephone Number	:	407-402-2303
Fax Number	:	407-321-0461

Provider Business Practice Location Address
First Line	:	712 W 25TH ST
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-4232
Country	:	US
Telephone Number	:	407-402-2303
Fax Number	:	407-321-0461

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

Provider Enumeration Date	:	02/04/2010
Last Update Date	:	06/29/2023

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Directions to “ DR. TAZEEN TAHIR ZAIDI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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