Healthcare Provider Details

I. General information

NPI: 1225339690
Provider Name (Legal Business Name): CARY M ZINKIN DPM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 12/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1979 W HILLSBORO BLVD SUITE 2
DEERFIELD BEACH FL
33442-1444
US

IV. Provider business mailing address

PO BOX 4997
DEERFIELD BEACH FL
33442-4997
US

V. Phone/Fax

Practice location:
  • Phone: 954-426-8833
  • Fax: 954-426-9975
Mailing address:
  • Phone: 954-426-8833
  • Fax: 954-426-9975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO 1849
License Number StateFL

VIII. Authorized Official

Name: DR. CARY ZINKIN
Title or Position: PRESIDENT
Credential: DPM
Phone: 954-426-8833