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

Zachary Kornblum

Individual provider Nephrology Physician · NPI 1063075075

Zachary Kornblum is a Nephrology in Plantation, Florida. Graduated from Nova Southeastern Univ College of Dental Medicine in 2019, 7 years ago. Practices with National Kidney Partners LLP, a 63-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
Nova Southeastern Univ College of Dental Medicine
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

4101 NW 4th St Ste 411
Plantation, FL 33317-2836
Phone: (954) 932-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence OS20933 (FL)

Record details

NPI number1063075075
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESAugust 25, 2024
Certification dateAugust 25, 2024

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2019 (7 years in practice)
Group practice National Kidney Partners Llp — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plantation