Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amer Zakaria

Individual provider General Practice Physician · NPI 1669978953

Amer Zakaria is a General Practice in Port Orange, Florida. Qualified in 2018, 8 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018

Practice location Address checks out

4090 S Ridgewood Ave
Port Orange, FL 32127-4501
Phone: (386) 387-5573
Fax: (407) 564-2115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME158851 (FL)

Record details

NPI number1669978953
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Orange