Individual
DR. MARK ANTOINE ZAKARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9632 RIDGESIDE CT, DAVIE, FL 33328-6906
(954) 644-0149
Mailing address
9632 RIDGESIDE CT, DAVIE, FL 33328-6906
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D76187
MD
207V00000X
Obstetrics & Gynecology Physician
Primary
ME110373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003689900
—
FL
05
—
069952700
—
MD
01
—
14F1D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/03/2008
Last updated
01/08/2021
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