Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | PO 3735 | FL |
N | 2081S0010X | Sports Medicine | PO 3735 | FL |
N | 213ES0000X | Sports Medicine | PO 3735 | FL |
Y | 213ES0103X | Foot & Ankle Surgery | PO 3735 | FL |
NPI | 1528441904 |
---|---|
Provider Name | Zain Barnouti |
First Address | Jacksonville, FL 32257-6196 |
Second Address | Jacksonville, FL 32216-1474 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2015 |
Last Update Date | 09/06/2021 |