Healthcare Provider Details

I. General information

NPI: 1962460618
Provider Name (Legal Business Name): LLOYD ZUCKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 GLADES ROAD SUITE 100
BOCA RATON FL
33431
US

IV. Provider business mailing address

670 GLADES ROAD SUITE 100
BOCA RATON FL
33431
US

V. Phone/Fax

Practice location:
  • Phone: 561-392-8855
  • Fax: 561-392-8922
Mailing address:
  • Phone: 561-392-8855
  • Fax: 561-392-8922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME62638
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: