Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | ME67931 | FL |
NPI | 1861572828 |
---|---|
Provider Name | Dr. Zorik Spektor |
First Address | Boynton Beach, FL 33437 |
Second Address | Boynton Beach, FL 33437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 26/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
378689700 | (05) | FL |
E38677 | (02) |