Provider Demographics
NPI:1801066816
Name:ZAIDA BERMUDEZ MD
Entity type:Organization
Organization Name:ZAIDA BERMUDEZ MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMUDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-575-1514
Mailing Address - Street 1:350 MARY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-4564
Mailing Address - Country:US
Mailing Address - Phone:941-575-1514
Mailing Address - Fax:941-639-0466
Practice Address - Street 1:350 MARY ST
Practice Address - Street 2:SUITE A
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-4564
Practice Address - Country:US
Practice Address - Phone:941-575-1514
Practice Address - Fax:941-639-0466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty