| Doctor Name: | CHARLES MCKINLEY ZOLLICOFFER |
| NPI Number: | 1750486460 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 231571 |
| Business Practice Address: | 1871 Se Tiffany Ave Suite 200 Port St Lucie, FL - 349527585 |
| Business Phone Number: | 7723374000 |
| Business Fax Number: | 7723354054 |
| Mailing Address: | 4450 S Tiffany Dr, WEST PALM BEACH |
| State: | FL |
| Postal Code: | 334073241 |
| Phone Number: | 5618449443 |
| Fax Number: | 5618441013 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 05/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 231571 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |