Provider Demographics
NPI:1245505015
Name:MOHAMED M. ZAMAN PLLC
Entity type:Organization
Organization Name:MOHAMED M. ZAMAN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BDS
Authorized Official - Phone:407-846-3662
Mailing Address - Street 1:11 W DAKIN AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5060
Mailing Address - Country:US
Mailing Address - Phone:407-846-3662
Mailing Address - Fax:407-846-0510
Practice Address - Street 1:11 W DAKIN AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5060
Practice Address - Country:US
Practice Address - Phone:407-846-3662
Practice Address - Fax:407-846-0510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL126441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty