Healthcare Provider Details

I. General information

NPI: 1366623092
Provider Name (Legal Business Name): GEOFFREY J ZANN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2007
Last Update Date: 11/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 GLADES RD SUITE 240
BOCA RATON FL
33431-6465
US

IV. Provider business mailing address

660 GLADES RD SUITE 240
BOCA RATON FL
33431-6465
US

V. Phone/Fax

Practice location:
  • Phone: 561-368-2005
  • Fax:
Mailing address:
  • Phone: 561-368-2005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME48352
License Number StateFL

VIII. Authorized Official

Name: DR. GEOFFREY J ZANN
Title or Position: PRESIDENT
Credential: MD
Phone: 561-368-2005