Doctor Name: | DR. JOHN PAUL ZETTY |
NPI Number: | 1558659524 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS 13093 |
Business Practice Address: | 17275 Collins Ave Apt 302 Sunny Isles Beach, FL - 331603442 |
Business Phone Number: | 7243226411 |
Business Fax Number: | |
Mailing Address: | 2001 W 68th St, Ste 202 HIALEAH |
State: | FL |
Postal Code: | 330161801 |
Phone Number: | 3053642107 |
Fax Number: | 3058228347 |
NPI Enumeration Date: | 07/12/2011 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS 13093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |