Ia B Zagvazdina, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME82035 Issued in FL

Practice address

390 S State Road 7
Hollywood, FL 33023-6718

Phone

(954) 743-5522

Fax

(954) 743-5632

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chen Neighborhood Medical Centers of South Florida, LLC

  • Non-Pharmacy Dispensing Site
  • Hollywood, FL
  • NPI 1003409707
  NPD
• Public Health Trust of Miami Dade County Florida

  • Urgent Care Clinic/Center
  • Miami Beach, FL
  • NPI 1578418232
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1528009339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S STATE ROAD 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236718",
            "telephone_number": "954-743-5522",
            "fax_number": "954-743-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S STATE ROAD 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236718",
            "telephone_number": "954-743-5522",
            "fax_number": "954-743-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGVAZDINA",
        "first_name": "IA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "71334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Maria Zafiris, PHD
• Maryssa Zafra, LMHC
• Gabriela Zagami
• Arnold Stanley Zager, MD
• Nadav Zaguri Gal
• MHD Tarek Zakaria, MD
• Liat Zakay
• Chaim Meir Zaklikowski
• Sophie Zambrano
• Amanda Zamora

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.