Basic Information
| Provider Information | |||||||||
| NPI: | 1174818553 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ZENONOS | ||||||||
| FirstName: | GEORGIOS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1095 NW 14TH TER BLDG | ||||||||
| Address2: | SUITE B400 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361060 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 1095 NW 14TH TER | ||||||||
| Address2: | SUITE B400 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052436751 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2011 | ||||||||
| LastUpdateDate: | 03/25/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | ME135203 | FL | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.