Healthcare Provider Details

I. General information

NPI: 1336819176
Provider Name (Legal Business Name): CARY M ZINKIN DPM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 09/14/2021
Certification Date: 09/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3471 N FEDERAL HWY STE 202
FT LAUDERDALE FL
33306-1048
US

IV. Provider business mailing address

1300 CONCORD TER STE 210
SUNRISE FL
33323-2899
US

V. Phone/Fax

Practice location:
  • Phone: 954-630-0311
  • Fax:
Mailing address:
  • Phone: 954-505-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: CARY ZINKIN
Title or Position: PODIATRIST
Credential:
Phone: 954-426-8833