| NPI | 1982691614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ZELNICK President 561-575-7875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL 57409) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL 0074966) |
| 208C00000X Colon & Rectal Surgery (Licence: FL 57409) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2025-09-11 |