Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | DO034706 | DC |
NPI | 1003270109 |
---|---|
Provider Name | Dr. Ali Zaidi |
First Address | Bradenton, FL 34208-1042 |
Second Address | Bradenton, FL 34208-1042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2016 |
Last Update Date | 14/05/2019 |