Individual
DR. THEODOSSIS ZACHARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N DIXIE FWY, SUITE 1, NEW SMYRNA BEACH, FL 32168-6201
(386) 423-0505
(386) 423-0515
Mailing address
1055 N DIXIE FWY, SUITE 1, NEW SMYRNA BEACH, FL 32168-6201
(386) 423-0505
(386) 423-0515
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME95732
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME95732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME95732
ME#
FL
Enumeration date
05/19/2006
Last updated
11/24/2009
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