Organization Name: | DARYOUSH ZAFAR DPM PA |
NPI Number: | 1265621726 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARYOUSH ZAFAR (OWNER) |
Mailing Address: | 9250 Corkscrew Rd Suite 7 Estero |
State: | FL US |
Postal Code: | 339283208 |
Phone Number: | 2394817000 |
Fax Number: | 2394818150 |
NPI Enumeration Date: | 10/22/2007 |
NPI Last Update Date: | 04/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO2799 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |