Besner, Zackary Philip

Besner, Zackary Philip is an individual health care provider with primary practice located at 5005 Port St John Pkwy , Cocoa FL 32927-4305. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Besner, Zackary Philip can be contacted via phone (321) 877-2700.

Contact Information

Primary practice address
5005 Port St John Pkwy Cocoa FL 32927-4305
Phone: (321) 877-2700
Fax: (321) 806-3059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME150988 Florida

Profile Details

NPI number 1609364728
LBN Legal business name Besner, Zackary Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2018
Last updated Jan 31st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609364728 NPPES
Florida MEDICAID 112062200

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