Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO 2255 | FL |
NPI | 1043217235 |
---|---|
Provider Name | Dr. Thomas Gerard Zwick |
First Address | Doral, FL 33122-1906 |
Second Address | Miami, FL 33125-1653 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 23/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
390225100 | (05) | FL |
U40425 | (02) | FL |