Organization Name: | ALTAMONTE MUA ASSOCIATES |
NPI Number: | 1588995336 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLAN ZUBKIN (MEDICAL DOCTOR) |
Mailing Address: | 499 E Central Pkwy Suite 115 Altamonte Springs |
State: | FL US |
Postal Code: | 327013402 |
Phone Number: | 4078341809 |
Fax Number: | 4078341840 |
NPI Enumeration Date: | 01/19/2010 |
NPI Last Update Date: | 01/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |