Individual
JOHN ZAK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
174400000X
Specialist
0051680
FL
207RG0100X
Gastroenterology Physician
Primary
ME51680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372114100
—
FL
Enumeration date
05/11/2006
Last updated
09/01/2023
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