Organization Active NPI

Zaz Med Inc

  • General Practice Physician
  • Clermont, FL
National Provider Identifier
1730840372
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ZAZ MED INC
Practice address
17410 Highway 50 Ste 110
Clermont, FL 34711-8188
Phone
(787) 376-4194
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Zy Soto, MD
Title
Ceo
Phone
(787) 376-4194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

17410 Highway 50 Ste 110
Clermont, FL 34711-8188

Mailing address

6307 Swanson St
Windermere, FL 34786-4118
Phone (787) 376-4194

Other names 1

  • Vida Care Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220518000199 FL Part B Supplier - Clinic/Group Practice 9436536166 Receives reassigned benefits from 1 practitioner
Practice locations: Clermont, FL

National Provider Directory

National Provider Directory

Locations

17410 Highway 50
Ste 110
Clermont, FL 34711
Phone (352) 717-4800

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": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1730840372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 SWANSON ST",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347864118",
            "telephone_number": "787-376-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17410 HIGHWAY 50 STE 110",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118188",
            "telephone_number": "787-376-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAZ MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ZY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-376-4194",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Care Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.