Mina Zahedi Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME79263 Issued in FL

Legal business name

MINA ZAHEDI INC

Practice address

1050 W Granada Blvd
Suite 2
Ormond Beach, FL 32174-8154

Phone

(386) 676-4410

Fax

(386) 676-4490

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Mina Zahedi, M D

Title

Owner

Phone

(386) 676-4410

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1649466731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W GRANADA BLVD",
            "address_2": "SUITE 2",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748154",
            "telephone_number": "386-676-4410",
            "fax_number": "386-676-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W GRANADA BLVD",
            "address_2": "SUITE 2",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748154",
            "telephone_number": "386-676-4410",
            "fax_number": "386-676-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA ZAHEDI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "ZAHEDI",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-676-4410",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1982666814",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110231155",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "K2990",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1649466731",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03248",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Sue Miller, RN
• Craig Allan Miller, DO
• Deja Miller
• Bobbie Lee Milligan, PTA19113
• Judith Marie Mills, OTR
• Rebecca Minkowicz
• Donald Dean Minocchi Jr., LPN
• Christine Minter Haas, APRN
• Jorge Luis Anibal Mirabelli, M.D.
• Joseph Peter Mirante, MD

• Internal Medicine Physician in Ormond Beach, FL
• Providers in Ormond Beach, 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 Jul 12, 2010; 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.