Individual
ZACKARY ELIAS BOOMSAAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10050 SW INNOVATION WAY STE 102, PORT ST LUCIE, FL 34987-2117
(772) 288-5862
(772) 288-5874
Mailing address
200 SE HOSPITAL AVE # 2346, STUART, FL 34994-2346
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME133521
FL
208VP0000X
Pain Medicine Physician
ME133521
FL
208VP0014X
Interventional Pain Medicine Physician
DR.0066118
CO
Other
Enumeration date
07/23/2008
Last updated
03/01/2023
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