MEDICARE: ZAMIL ISLAM

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	390200000X	Student in an Organized Health Care Education/Training Program
2	208D00000X	General Practice Physician	OS16272	FL

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	:	1659878957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAMIL ISLAM

Provider Business Mailing Address
First Line	:	1100 PARK CENTRAL BLVD S STE 3600
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-2238
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 PARK CENTRAL BLVD S STE 3600
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-2238
Country	:	US
Telephone Number	:	954-324-7733
Fax Number	:

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

Provider Enumeration Date	:	04/12/2018
Last Update Date	:	06/19/2026

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Directions to “ ZAMIL ISLAM ” Practice Location

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