MEDICARE: ISIDORO ZARCO 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	332H00000X	Eyewear Supplier	ME39131	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972778975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ISIDORO ZARCO M.D. P.A.

Provider Business Mailing Address
First Line	:	3230 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-1153
Country	:	US
Telephone Number	:	305-443-3330
Fax Number	:	305-443-1561

Provider Business Practice Location Address
First Line	:	3230 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-1153
Country	:	US
Telephone Number	:	305-443-3330
Fax Number	:	305-443-1561

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ISIDORO ZARCO
Credential	:	M.D.
Telephone Number	:	305-443-3330

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	04/29/2008

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