| Dr Mark Antoine Zakaria, MD | |
|
9632 Ridgeside Ct, Davie, FL 33328-6906 | |
| (954) 644-0149 | |
| Not Available |
| Full Name | Dr Mark Antoine Zakaria |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 9632 Ridgeside Ct, Davie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518145473 | NPI | - | NPPES |
| 069952700 | Medicaid | MD | |
| 14F1D | Other | FL | BLUE CROSS BLUE SHIELD |
| 003689900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | D76187 (Maryland) | Secondary |
| 207V00000X | Obstetrics & Gynecology | ME110373 (Florida) | Primary |
| Entity Name | Vitalmd Group Holding Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Antoine Zakaria, MD 9632 Ridgeside Ct, Davie, FL 33328-6906 Ph: () - | Dr Mark Antoine Zakaria, MD 9632 Ridgeside Ct, Davie, FL 33328-6906 Ph: (954) 644-0149 |
Dr. Kenneth Eugene Johnson Jr., D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-1142 | |
Dr. Rahil Malik, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5599 S University Dr Ste 305, Davie, FL 33328 Phone: 954-880-1010 Fax: 866-531-7689 |