Organization
SERGIO M ZAMORA MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO M ZAMORA MD (SOLE MEMBER)
(386) 274-5557
Entity
Organization
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
174400000X
Specialist
Primary
ME75866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL989
MEDICARE
FL
Enumeration date
08/20/2006
Last updated
09/08/2008
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