Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | CH6706 | FL |
NPI | 1457563751 |
---|---|
Provider Name | Dr. James S. Zuk |
First Address | Cape Coral, FL 33904-7258 |
Second Address | Cape Coral, FL 33904-7258 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
55223 | (02) | FL |