Provider Demographics
NPI:1083319404
Name:GEORGES, ZEINA (MD)
Entity type:Individual
Prefix:
First Name:ZEINA
Middle Name:
Last Name:GEORGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ZEINA
Other - Middle Name:
Other - Last Name:GERGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1734 W LAGO LOOP
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461-7679
Mailing Address - Country:US
Mailing Address - Phone:413-320-5442
Mailing Address - Fax:
Practice Address - Street 1:3280 W AUDUBON PARK PATH
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-8450
Practice Address - Country:US
Practice Address - Phone:352-527-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME175659207QG0300X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine