Healthcare Provider Details

I. General information

NPI: 1356387617
Provider Name (Legal Business Name): ARNOLD STANLEY ZAGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3810 HOLLYWOOD BOULEVARD SUITE 2
HOLLYWOOD FL
33021-6730
US

IV. Provider business mailing address

3810 HOLLYWOOD BOULEVARD SUITE 2
HOLLYWOOD FL
33021
US

V. Phone/Fax

Practice location:
  • Phone: 954-983-8511
  • Fax: 954-983-8518
Mailing address:
  • Phone: 954-983-8511
  • Fax: 954-983-8518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME0020444
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: