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Contact Information

ZACKARY E BOOMSAAD, MD
10050 SW INNOVATION WAY STE 102
PORT SAINT LUCIE, FL34987-2117
 Phone: 772-288-5862
 Fax: 772-288-5874
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for ZACKARY E BOOMSAAD · (Male)

NPI Number 1235394891
Status Active
Credentials MD
Entity Individual
Enumeration date 07/23/2008
Last updated 03/01/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # DR.0066118
  • FL License # ME133521
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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