| Michael M Zukowsky Mdpa | |
|
801 Meadows Rd Suite 120 Boca Raton FL 33486-2346 | |
| (561) 397-4107 | |
| (561) 393-7130 |
| Full Name | Michael M Zukowsky Mdpa |
|---|---|
| Speciality | General Practice |
| Location | 801 Meadows Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Michael M Zukowsky (PRESIDENT) |
| Authorized Official Contact | 5613724107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael M Zukowsky Mdpa 801 Meadows Rd Suite 120 Boca Raton FL 33486-2346 Ph: (561) 397-4107 | Michael M Zukowsky Mdpa 801 Meadows Rd Suite 120 Boca Raton FL 33486-2346 Ph: (561) 397-4107 |
| NPI Number | 1952561029 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 12/17/2013 |
| Medicare PECOS PAC ID | 7315195039 |
|---|---|
| Medicare Enrollment ID | O20120920000694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952561029 | NPI | - | NPPES |
| 257546900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME38927 (Florida) | Primary |
| Provider Name | Michael M Zukowsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104933159 PECOS PAC ID: 1557339454 Enrollment ID: I20040920000111 |
| Provider Name | Yvette Mcfarlane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760840649 PECOS PAC ID: 8820368210 Enrollment ID: I20170718000700 |
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