Individual
DR. SERGIO MARTIN ZAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1890 LPGA BLVD, SUITE 150, DAYTONA BEACH, FL 32117-7130
(386) 274-5557
(386) 274-5527
Mailing address
1890 LPGA BLVD, SUITE 150, DAYTONA BEACH, FL 32117-7130
(386) 274-5557
(386) 274-5527
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME75866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43575
BCBS
FL
Enumeration date
08/11/2005
Last updated
05/02/2008
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