Zamora, Sergio Martin
Zamora, Sergio Martin is an sole proprietor health care provider with primary practice located at 1890 Lpga Blvd Suite 150, Daytona Beach FL 32117-7130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Zamora, Sergio Martin can be contacted via phone (386) 274-5557.Contact Information
Primary practice address
1890 Lpga Blvd Suite 150
Daytona Beach FL 32117-7130
Phone: (386) 274-5557
Fax: (386) 274-5527
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME75866 | Florida |
Profile Details
NPI number | 1912909805 |
---|---|
LBN Legal business name | Zamora, Sergio Martin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 11th, 2005 |
Last updated | May 2nd, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912909805 | NPPES |
Florida | Other | 43575 | BCBS |
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