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NPI Code Detail

MEDICARE: ZACHARY RADZISZEWSKI CAA

MEDICARE: ZACHARY RADZISZEWSKI CAA
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
1367H00000XAnesthesiologist AssistantAA991FL

General Provider Information

NPI Number : 1598591968
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY RADZISZEWSKI CAA
Provider Business Mailing Address
First Line : 3343 PORT ROYALE DR S APT A-516
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-7932
Country : US
Telephone Number : 440-554-2091
Fax Number :
Provider Business Practice Location Address
First Line : 3100 WESTON RD
Second Line :
City : WESTON
State : FL
Zip : 33331-3602
Country : US
Telephone Number : 954-659-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2024
Last Update Date : 12/19/2025

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Directions to “ ZACHARY RADZISZEWSKI CAA” Practice Location

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