Individual
MR. HISSAM A ZEIDAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 VETERANS WAY, VIERA, FL 32940-8007
(321) 637-3788
Mailing address
736 AUTUMN GLEN DR, MELBOURNE, FL 32940-6421
(321) 637-3788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA3302
LICENSE
FL
Enumeration date
06/08/2006
Last updated
07/08/2007
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