Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME 55438 | FL |
NPI | 1013981653 |
---|---|
Provider Name | Dr. Gordon H Zuerndorfer |
First Address | Clearwater, FL 33765-1449 |
Second Address | Clearwater, FL 33765-1449 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 09/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0091819 | CIGNA PROVIDER # (01) | FL |
249119 | AVMED PROVIDER # (01) | FL |
4081512 | AETNA PROVIDER # (01) | FL |
E74096 | (02) | FL |