MEDICARE: PHILIP ZWIEBEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	ME0070235	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215987169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP ZWIEBEL MD

Provider Business Mailing Address
First Line	:	40 NE 2ND AVE
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-3504
Country	:	US
Telephone Number	:	954-426-8840
Fax Number	:	954-426-6642

Provider Business Practice Location Address
First Line	:	40 NE 2ND AVE
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-3504
Country	:	US
Telephone Number	:	954-426-8840
Fax Number	:	954-426-6642

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	07/08/2007

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Directions to “ PHILIP ZWIEBEL MD” Practice Location

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