Provider Demographics
NPI:1053699611
Name:ZUFARI, AMEER BAKR (DMD)
Entity type:Individual
Prefix:
First Name:AMEER
Middle Name:BAKR
Last Name:ZUFARI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 N PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2541
Mailing Address - Country:US
Mailing Address - Phone:321-356-4421
Mailing Address - Fax:
Practice Address - Street 1:6429 RALEIGH ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-5739
Practice Address - Country:US
Practice Address - Phone:407-295-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-01
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19296122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist