Provider Demographics
NPI:1427076421
Name:ZEUS MEDICAL CENTER INC
Entity type:Organization
Organization Name:ZEUS MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ONIDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-871-8128
Mailing Address - Street 1:3968 CURTIS PARKWAY
Mailing Address - Street 2:
Mailing Address - City:VIRGINA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166
Mailing Address - Country:US
Mailing Address - Phone:305-871-8128
Mailing Address - Fax:305-871-8129
Practice Address - Street 1:3968 CURTIS PARKWAY
Practice Address - Street 2:
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166
Practice Address - Country:US
Practice Address - Phone:305-871-8128
Practice Address - Fax:305-871-8129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC 5969261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7286Medicare PIN