MEDICARE: GUY V ZINGARO 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	207RG0100X	Gastroenterology Physician	48100	FL

General Provider Information

NPI Number	:	1558332130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUY V ZINGARO MD

Provider Business Mailing Address
First Line	:	5431 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4639
Country	:	US
Telephone Number	:	954-344-2522
Fax Number	:	954-344-9189

Provider Business Practice Location Address
First Line	:	3100 CORAL HILLS DR
Second Line	:	SUITE 306
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4137
Country	:	US
Telephone Number	:	954-753-9412
Fax Number	:	954-752-0579

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	10/10/2012

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