| Betty A Zondag, Od, Pa | |
|
8960 S Federal Hwy Port St Lucie FL 34952-3403 | |
| (772) 337-6376 | |
| (772) 337-3977 |
| Full Name | Betty A Zondag, Od, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 8960 S Federal Hwy, Port St Lucie, Florida |
| Authorized Official Name and Position | Betty A Zondag (PRESIDENT) |
| Authorized Official Contact | 7723376376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Betty A Zondag, Od, Pa 8960 S Federal Hwy Port St Lucie FL 34952-3403 Ph: (772) 337-6376 | Betty A Zondag, Od, Pa 8960 S Federal Hwy Port St Lucie FL 34952-3403 Ph: (772) 337-6376 |
| NPI Number | 1518264209 |
|---|---|
| Provider Enumeration Date | 02/16/2011 |
| Last Update Date | 02/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518264209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OPC3413 (Florida) | Primary |
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