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1568881175

NPI Code Detail

MEDICARE: DR. RICHARD ANTHONY ZACK-GUASP MD

MEDICARE: DR. RICHARD ANTHONY ZACK-GUASP 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	207L00000X	Anesthesiology Physician	111619	GA
2	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	141762	FL
3	207L00000X	Anesthesiology Physician	141762	FL
4	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	111619	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1568881175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ANTHONY ZACK-GUASP MD

Provider Business Mailing Address
First Line	:	185 SW 7TH ST APT 3507
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-2983
Country	:	US
Telephone Number	:	787-368-8793
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 NW 16TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1624
Country	:	US
Telephone Number	:	305-575-7000
Fax Number	:

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

Provider Enumeration Date	:	04/10/2014
Last Update Date	:	05/27/2026

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Directions to “ DR. RICHARD ANTHONY ZACK-GUASP MD” Practice Location

Language	Start Address	Practice Location

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