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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ZACKARY ELIAS BOOMSAAD, M.D.

Active Sole Proprietor

ZACKARY ELIAS BOOMSAAD, M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in PORT ST LUCIE, Florida. NPI 1235394891 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · PORT ST LUCIE, FL

Registration Details

NPI Number
1235394891
Provider Type
Individual
Gender
Male
NPI Issued
Jul 23, 2008 (18.097146314856 yrs)
Last Updated
Mar 1, 2023
Licenses
ME133521 (FL)
DR.0066118 (CO)
ME133521 (FL)
Sole Proprietor
Yes

Practice Information

Address
10050 SW INNOVATION WAY STE 102
PORT ST LUCIE, FL, 349872117
Browse FL providers · Browse ZIP 34987
Phone
7722885862
Fax
7722885874
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X

Other Pain Medicine (Anesthesiology) Providers in PORT ST LUCIE, FL

Name Credential NPI
DR. DAVID MICHAEL GLENER M.D. 1881642106
MR. ANTONIO POTO JR. DO 1982875621
HAREN BODEPUDI M.D. 1518351410
DANIEL DAVID CARLYLE M.D. 1235585225
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.