Provider Demographics
NPI:1285078774
Name:ZEHER, ASHTON MICHAEL (EMT)
Entity type:Individual
Prefix:MR
First Name:ASHTON
Middle Name:MICHAEL
Last Name:ZEHER
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21225 BASSETT AVE
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-1552
Mailing Address - Country:US
Mailing Address - Phone:919-622-4991
Mailing Address - Fax:
Practice Address - Street 1:21225 BASSETT AVE
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-1552
Practice Address - Country:US
Practice Address - Phone:919-622-4991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL41-2192592390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program