Provider Demographics
NPI:1699186361
Name:Z MEDICAL CENTER INC
Entity type:Organization
Organization Name:Z MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAUMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAFFAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-420-7617
Mailing Address - Street 1:7810 LAKE WILSON RD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33896-9605
Mailing Address - Country:US
Mailing Address - Phone:863-420-7617
Mailing Address - Fax:863-420-7619
Practice Address - Street 1:7810 LAKE WILSON RD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33896-9605
Practice Address - Country:US
Practice Address - Phone:863-420-7617
Practice Address - Fax:863-420-7619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP14000043063261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL112988800Medicaid
FL12646942OtherCAQH ID
FLME112902OtherMEDICAL LICENSE
FLHV 362AOtherMEDICARE PTAN
FLHV 362AOtherMEDICARE PTAN
FL011815800Medicaid