Dr. Peter Mangone Zies
Dermatologist
17 East Silver Palm Avenue
Melbourne
, Florida 32901-3123
Dr. Peter Mangone Zies
Dermatologist
17 East Silver Palm Avenue
Melbourne
, Florida 32901-3123
(321) 722-9248
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Peter Mangone Zies
- 17 East Silver Palm Avenue
- Melbourne, FL
- Zip : 32901-3123
- Fax : (321) 722-9248
- Phone : (321) 725-9041
Second Address
- Dr. Peter Mangone Zies
- 17 East Silver Palm Avenue
- Melbourne, FL
- Zip : 32901-3123
- Fax : (321) 722-9248
- Phone : (321) 725-9041
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 14855 | FL |
National Provider Identifier
| NPI | 1023046885 |
|---|---|
| Provider Name | Dr. Peter Mangone Zies |
| First Address | Melbourne, FL 32901-3123 |
| Second Address | Melbourne, FL 32901-3123 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 139150553743 | HUMANA (01) | |
| 48587 | BCBS (01) | |
| CL1732 | RR MEDICARE (01) | |
| D55350 | (02) | |
| D55350 | HEALTH FIRST (01) |
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.