Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME65365 | FL |
NPI | 1003814922 |
---|---|
Provider Name | Dr. Andrew H Zwick |
First Address | Coral Springs, FL 33067-4639 |
Second Address | Boca Raton, FL 33428-2237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 10/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
28433 | HEALTH OPTIONS PROVIDER # (01) | FL |
28433W | (02) | |
2983677007 | CIGNA PROVIDER NUMBER (01) | FL |
5521288 | AETNA PROVIDER # (01) | FL |
G23617 | (02) | FL |
ME0065365 | LICENSE NUMBER (01) | FL |