MEDICARE: ALI REZA ZARGARAN , M.D,P.A.

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	261QP2300X	Primary Care Clinic/Center	ME66452	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	25762	OTHER	FL	MEDICARE ID-TYPE

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	:	1881996395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALI REZA ZARGARAN , M.D,P.A.

Provider Business Mailing Address
First Line	:	2701 E ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-4941
Country	:	US
Telephone Number	:	954-942-8987
Fax Number	:	954-942-9545

Provider Business Practice Location Address
First Line	:	2701 E ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-4941
Country	:	US
Telephone Number	:	954-942-8987
Fax Number	:	954-942-9545

Authorized Official
Title or Position	:	DOCTOR
Name	:	ALI REZA ZARGARAN
Credential	:	M.D,P.A.
Telephone Number	:	954-942-8987

Provider Enumeration Date	:	12/03/2010
Last Update Date	:	12/03/2010

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