Healthcare Provider Details

I. General information

NPI: 1225097892
Provider Name (Legal Business Name): ZELIMIR KOZIC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5936 LIMESTONE RD SUITE 301
HOCKESSIN DE
19707-8905
US

IV. Provider business mailing address

5936 LIMESTONE RD SUITE 301
HOCKESSIN DE
19707-8905
US

V. Phone/Fax

Practice location:
  • Phone: 302-234-5800
  • Fax: 302-234-2380
Mailing address:
  • Phone: 302-234-5800
  • Fax: 302-234-2380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberC1-0D00944
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: