Healthcare Provider Details

I. General information

NPI: 1265432785
Provider Name (Legal Business Name): BRUCE M ZAFRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2005
Last Update Date: 02/01/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8110 ROYAL PALM BLVD STE 108
CORAL SPRINGS FL
33065-5795
US

IV. Provider business mailing address

8110 ROYAL PALM BLVD STE 108
CORAL SPRINGS FL
33065-5795
US

V. Phone/Fax

Practice location:
  • Phone: 954-341-8288
  • Fax: 954-341-5165
Mailing address:
  • Phone: 954-341-8288
  • Fax: 954-341-5165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberME46333
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: