Provider Demographics
NPI:1538264577
Name:ZAKHARIA, ALEX T (MD,)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:T
Last Name:ZAKHARIA
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6262 SUNSET DR
Mailing Address - Street 2:SUITE 401
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4843
Mailing Address - Country:US
Mailing Address - Phone:305-661-5757
Mailing Address - Fax:305-661-5799
Practice Address - Street 1:6262 SUNSET DR
Practice Address - Street 2:SUITE 401
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4843
Practice Address - Country:US
Practice Address - Phone:305-661-5757
Practice Address - Fax:305-661-5799
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 41559174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE14563Medicare UPIN
FL96098Medicare ID - Type Unspecified