| Doctor Name: | DR. ZOFIA SUSAN ZUKOTYNSKI |
| NPI Number: | 1194992495 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | LL610 |
| Business Practice Address: | 417 Se Balboa Ave Stuart, FL - 349942327 |
| Business Phone Number: | 7724634128 |
| Business Fax Number: | |
| Mailing Address: | 4651 Ne Ocean Blvd, Unit 17 JENSEN BEACH |
| State: | FL |
| Postal Code: | 349574359 |
| Phone Number: | 7723344777 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2008 |
| NPI Last Update Date: | 05/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | LL610 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |