Organization Name: | MICHAEL M ZUKOWSKY MDPA |
NPI Number: | 1952561029 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL M ZUKOWSKY (PRESIDENT) |
Mailing Address: | 801 Meadows Rd Suite 120 Boca Raton |
State: | FL US |
Postal Code: | 334862346 |
Phone Number: | 5613974107 |
Fax Number: | 5613937130 |
NPI Enumeration Date: | 06/12/2008 |
NPI Last Update Date: | 12/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME38927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |