JOHN ZAK III (NPI# 1548210594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548210594 |
| Entity Type | Individual |
| Full Name | JOHN ZAK III |
| Credential | M.D. |
| Practice Address |
21 Hospital Dr Suite 250 Palm Coast FL 32164-2380 |
| Practice Telephone | 3864375980 |
| Practice Fax Number | 3864375981 |
| Mailing Telephone | 3864375980 |
| Mailing Fax Number | 3864375981 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0051680 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 372114100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093098121 | John Peter Zak | Pharmacist | 421 Ryders Ln, East Brunswick, NJ 08816-2700 | 2011-09-26 |
| 1043324999 | John Paul Zak | Psychiatry & Neurology | 3515 E Fletcher Ave, Mdc 14, Tampa, FL 33613-4706 | 2006-08-18 |
| Street Address |
21 HOSPITAL DR SUITE 250 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558802959 | Christina Ratliff | Nurse Practitioner | 21 Hospital Dr, Suite 140, Palm Coast, FL 32164-2452 | 2017-03-17 |
| 1528416096 | Advanced Urology Institute LLC | Non-Pharmacy Dispensing Site | 21 Hospital Dr, Ste 140, Palm Coast, FL 32164-2452 | 2016-05-25 |
| 1770967077 | Metcare of Palm Coast | Family Medicine | 21 Hospital Dr, Suite 125, Palm Coast, FL 32164-2452 | 2015-07-16 |
| 1891181194 | Chamion N. Olivier Md Pa | Internal Medicine | 21 Hospital Dr, Suite 290, Palm Coast, FL 32164-2452 | 2015-04-13 |
| 1033500624 | Coastal Family Healthcare LLC | Family Medicine | 21 Hospital Dr, Suite 280, Palm Coast, FL 32164-2452 | 2015-02-18 |
| 1578854477 | Florida Woman Care, LLC | Obstetrics & Gynecology | 21 Hospital Dr, Suite 270, Palm Coast, FL 32164-2452 | 2011-04-26 |
| 1326359274 | Caroline M Sargeant | Nurse Practitioner | 21 Hospital Dr, Suite 270, Palm Coast, FL 32164-2452 | 2010-06-25 |
| 1962644914 | Ips of Palm Coast LLC | Nurse Anesthetist, Certified Registered | 21 Hospital Dr, Ste 220, Palm Coast, FL 32164-2452 | 2009-04-06 |
| 1396987350 | Spinecare of Palm Coast LLC | Pain Medicine | 21 Hospital Dr, Ste 220, Palm Coast, FL 32164-2452 | 2009-04-06 |
| 1598907552 | Mua Center of Palm Coast LLC | Clinic/Center | 21 Hospital Dr, Ste 220, Palm Coast, FL 32164-2452 | 2009-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174956775 | Richard Sean Fulmer | Specialist | 20 Bruce Ln, Palm Coast, FL 32137 | 2013-08-19 |
| 1922377746 | Jennifer Marie Brannigan | Specialist | 56 Nantucket Dr, Palm Coast, FL 32137-2529 | 2011-12-22 |
| 1508012469 | Karen Lynn Mcdonough | Specialist | 54 Farragut Dr, Palm Coast, FL 32137-8221 | 2008-08-12 |
| 1710180898 | Inti A Marazita | Specialist | 13 Laramie Dr, Palm Coast, FL 32137-9626 | 2007-06-07 |
| 1427133891 | Rural Therapy Services of Florida Inc | Specialist | 35 Old Kings Rd N, Palm Coast, FL 32137-8227 | 2006-10-26 |
| 1972698710 | Sheri Lee Montgomery | Specialist | 8 Clermont Court, Palm Coast, FL 32137-8926 | 2006-10-04 |
| 1184688251 | Domenic Marini | Specialist | 19 Old Kings Rd N, Suite C-106, Palm Coast, FL 32137-8260 | 2006-04-14 |
| 1184619017 | Renato A Alfonso | Specialist | 84 Pinnacles Dr, Suite #200, Palm Coast, FL 32164-2324 | 2005-09-16 |
| 1073508917 | Don Joseph Alfonso | Specialist | 84 Pinnacles Dr Ste 200, Palm Coast, FL 32164-2324 | 2005-09-16 |
| 1487658472 | Thomas A Joiner | Specialist | 61 Memorial Medical Pkwy, Suite 2811, Palm Coast, FL 32164-5981 | 2005-06-08 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32164 |
Please comment or provide details below to improve the information on JOHN ZAK III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.