Provider Demographics
NPI:1306436233
Name:ZAITER, AHMAD
Entity type:Individual
Prefix:
First Name:AHMAD
Middle Name:
Last Name:ZAITER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11301 N US HIGHWAY 301 STE 106
Mailing Address - Street 2:
Mailing Address - City:THONOTOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:33592-3603
Mailing Address - Country:US
Mailing Address - Phone:813-252-4443
Mailing Address - Fax:813-252-4652
Practice Address - Street 1:32866 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3124
Practice Address - Country:US
Practice Address - Phone:727-202-2217
Practice Address - Fax:727-361-6197
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.022974183500000X
MD26356183500000X
KS1-107239183500000X
KY021099183500000X
AL20788183500000X
ARPD15309183500000X
GARPH031199183500000X
TN43086183500000X
MST-15983183500000X
MI5302047741183500000X
MN124192183500000X
NE16350183500000X
OK18413183500000X
ORRPH-0017157183500000X
FLPS58257183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist