Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME78827 | FL |
NPI | 1033167663 |
---|---|
Provider Name | Joseph John Zerega |
First Address | Vero Beach, FL 32960-4837 |
Second Address | Vero Beach, FL 32960-4837 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 17/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100015009 | RR MEDICARE (01) | FL |
259754300 | (05) | FL |
49458 | BLUE CROSS (01) | FL |
E02751 | (02) | FL |