Organization Active NPI

Ingrid Zumaran Mdpa

  • Family Medicine Physician
  • Seminole, FL
National Provider Identifier
1255304093
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INGRID ZUMARAN MDPA
Practice address
9555 Seminole Blvd
Ste 104
Seminole, FL 33772-2562
Phone
(727) 394-1500
Fax
(727) 394-1505
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ian O Dziubinski
Title
Administrator
Phone
(727) 394-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9555 Seminole Blvd
Ste 104
Seminole, FL 33772-2562

Mailing address

9555 Seminole Blvd
Ste 104
Seminole, FL 33772-2562
Phone (727) 394-1500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255304093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD",
            "address_2": "STE 104",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722562",
            "telephone_number": "727-394-1500",
            "fax_number": "727-394-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD",
            "address_2": "STE 104",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722562",
            "telephone_number": "727-394-1500",
            "fax_number": "727-394-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID ZUMARAN MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DZIUBINSKI",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-394-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.