Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Zachary Odin Kustin, PA-C

Individual provider Physician Assistant · NPI 1487111589

Zachary Odin Kustin, PA-C is a Physician Assistant in Orlando, Florida. Qualified in 2018, 8 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1222 S Orange Ave
Orlando, FL 32806-1215
Phone: (321) 841-6444
Fax: (407) 650-1307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9111880 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9111880 (FL)

Record details

NPI number1487111589
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 25, 2019
Last updated in NPPESAugust 15, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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