Organization
JOHN ZAK III PA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ZAK III M.D. (OWNER)
(386) 255-4425
Entity
Organization
Contact information
Practice address
570 MEMORIAL CIR STE 110, ORMOND BEACH, FL 32174-5063
(386) 437-5980
(386) 437-5981
Mailing address
570 MEMORIAL CIR STE 110, ORMOND BEACH, FL 32174-5063
(386) 437-5980
(386) 437-5981
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372114100
—
FL
Enumeration date
06/09/2006
Last updated
09/01/2023
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