Individual
MR. JOHN WILLIAM ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8525 SW 92ND ST STE C11A, MIAMI, FL 33156-7386
(210) 920-4419
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7151
(785) 240-7438
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
29076
NY
363A00000X
Physician Assistant
85.009283
IL
363A00000X
Physician Assistant
Primary
PA15892
TX
363A00000X
Physician Assistant
PA61720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1395931128
MILITARY PROVIDER
—
Enumeration date
07/15/2020
Last updated
04/10/2023
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