Dr. Matthew Brent Zook
Dermatologist Pediatric Dermatologist MOHS-Micrographic Surgeon
1201 S Myrtle Ave
Clearwater
, Florida 33756-3424
Dr. Matthew Brent Zook
Dermatologist Pediatric Dermatologist MOHS-Micrographic Surgeon
1201 S Myrtle Ave
Clearwater
, Florida 33756-3424
(813) 882-9849
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Pediatric Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Matthew Brent Zook
- 5210 Webb Rd
- Tampa, FL
- Zip : 33615-4518
- Fax : (813) 882-9849
- Phone : (813) 882-9986
Second Address
- Dr. Matthew Brent Zook
- 1201 S Myrtle Ave
- Clearwater, FL
- Zip : 33756-3424
- Fax : (727) 446-3490
- Phone : (727) 442-1917
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | MD436516 | PA |
| Y | 207N00000X | Dermatologist | ME111413 | FL |
| N | 207ND0101X | MOHS-Micrographic Surgeon | ME111413 | FL |
| N | 207NP0225X | Pediatric Dermatologist | ME111413 | FL |
National Provider Identifier
| NPI | 1275740391 |
|---|---|
| Provider Name | Dr. Matthew Brent Zook |
| First Address | Tampa, FL 33615-4518 |
| Second Address | Clearwater, FL 33756-3424 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 09/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004343200 | (05) | FL |
| FQ559X | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.