Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | D0021888 | MD |
NPI | 1073709127 |
---|---|
Provider Name | Dr. Burger Zapf |
First Address | Green Cove Springs, FL 32043-3443 |
Second Address | Green Cove Springs, FL 32043-3443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2007 |
Last Update Date | 05/09/2008 |