Zoryana Dudaryk, PA-C
Individual provider Active NPI Physician Assistant · Pinecrest, FL
NPI 1174055461 · NPPES record last updated Mar 28, 2017
Key facts
- NPI
- 1174055461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9109989 (FL)
- Practice address
- 8200 SW 134 St
Pinecrest, FL 33156 - Phone
- (786) 664-1403
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4308 Alton Rd
Suite 320
Miami Beach, FL 33140-4559
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109989 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osvaldo Halphen M D P a | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109989 | FL | Yes |
Addresses
Primary practice location
8200 SW 134 St
Pinecrest, FL 33156
Mailing address
8200 SW 134TH St
Miami, FL 33156-6634
Phone (786) 664-1403
Other providers in Pinecrest, FL
- Emily Deutch
- Damian Antonio Diaz Cotelo
- Alejandro Diaz
- Jessy Diaz
- Dr. Medina'S Optical, LLC.
- Mark Richard Dylewski
- Ramses Echevarria
- Katerina Eguino
- Maria C Ehrenkrantz
- Elias Radiology Associates PA
All providers in Pinecrest, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.