Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | OS 3298 | FL |
NPI | 1811041593 |
---|---|
Provider Name | Dr. Lowell Zeid |
First Address | Lake Worth, FL 33461-2323 |
Second Address | Boynton Beach, FL 33437-5483 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 13/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
EO6129 | (02) |