Active NPI
Martin R Zfaz, D..O.
- Addiction Medicine (Family Medicine) Physician
- Jacksonville, FL
National Provider Identifier
1649483256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- ME30033
- Practice address
- 8889 Corporate Square CT
Jacksonville, FL 32216-1981 - Phone
- (904) 727-6455
- Fax
- (904) 855-4365
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | ME30033 | FL | Primary |
Addresses
Primary practice location
8889 Corporate Square CT
Jacksonville, FL 32216-1981
Mailing address
4825 N Dixie Hwy
Oakland Park, FL 33334-3928
Phone (954) 489-2580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME30033 | FL | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649483256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 N DIXIE HWY",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333343928",
"telephone_number": "954-489-2580",
"fax_number": "954-491-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8889 CORPORATE SQUARE CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161981",
"telephone_number": "904-727-6455",
"fax_number": "904-855-4365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZFAZ",
"first_name": "MARTIN",
"middle_name": "R",
"credential": "D..O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "FL",
"license": "ME30033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.