Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 9243697 | FL |
NPI | 1013298413 |
---|---|
Provider Name | Zvonimir Zimbrek |
First Address | North Bay Village, FL 33141-5552 |
Second Address | North Bay Village, FL 33141-5552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2011 |
Last Update Date | 30/08/2011 |