Provider Demographics
NPI:1053902544
Name:CHASE, ZINA ZELMAN
Entity type:Individual
Prefix:
First Name:ZINA
Middle Name:ZELMAN
Last Name:CHASE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2751 S OCEAN DR PH 5N
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-2712
Mailing Address - Country:US
Mailing Address - Phone:954-674-8754
Mailing Address - Fax:
Practice Address - Street 1:2751 S OCEAN DR PH 5N
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-2712
Practice Address - Country:US
Practice Address - Phone:954-674-8754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172364207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine