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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1912909805 NPPES
Florida Other 43575 BCBS

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