Healthcare Provider Details

I. General information

NPI: 1194724302
Provider Name (Legal Business Name): ZIDE SPITZER & FINLAY MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 SHERIDAN ST A
HOLLYWOOD FL
33021-3552
US

IV. Provider business mailing address

4420 SHERIDAN ST A
HOLLYWOOD FL
33021-3552
US

V. Phone/Fax

Practice location:
  • Phone: 954-962-0040
  • Fax: 954-962-7901
Mailing address:
  • Phone: 954-962-0040
  • Fax: 954-962-7901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. ROGER DANIEL SPITZER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 954-962-0040