Healthcare Provider Details

I. General information

NPI: 1235294604
Provider Name (Legal Business Name): ZACHARY E. GERUT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16890 COLCHESTER CT
DELRAY BEACH FL
33484-6983
US

IV. Provider business mailing address

16890 COLCHESTER CT
DELRAY BEACH FL
33484-6983
US

V. Phone/Fax

Practice location:
  • Phone: 165-242-7500
  • Fax:
Mailing address:
  • Phone: 165-242-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number149739
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME170720
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: