Doctor Name: | RALPH JOSEPH ZWOLINSKI |
NPI Number: | 1528049327 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 000046005 |
Business Practice Address: | 5111 S Ridgewood Ave Suite 102 Port Orange, FL - 321275169 |
Business Phone Number: | 3867634484 |
Business Fax Number: | 3867631288 |
Mailing Address: | 1673 Mason Ave, Suite 107 DAYTONA BEACH |
State: | FL |
Postal Code: | 321175515 |
Phone Number: | 3862747118 |
Fax Number: | 3862746173 |
NPI Enumeration Date: | 11/09/2005 |
NPI Last Update Date: | 03/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 000046005 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |