Doctor Name: | MR. MARK ZHUK |
NPI Number: | 1790031490 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME79113 |
Business Practice Address: | 405 N Hibiscus Dr Unit 207 Miami Beach, FL - 331395169 |
Business Phone Number: | 3057995133 |
Business Fax Number: | |
Mailing Address: | 2925 Aventura Blvd, Suite 100 AVENTURA |
State: | FL |
Postal Code: | 331803124 |
Phone Number: | 3056922222 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2012 |
NPI Last Update Date: | 03/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME79113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |