Healthcare Provider Details

I. General information

NPI: 1164480075
Provider Name (Legal Business Name): PAUL ZIMMERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 05/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 SW 149TH AVE. SUITE 400
MIRAMAR FL
33027
US

IV. Provider business mailing address

2901 SW 149TH AVE. SUITE 400
MIRAMAR FL
33027
US

V. Phone/Fax

Practice location:
  • Phone: 954-874-4612
  • Fax: 305-594-2722
Mailing address:
  • Phone: 954-874-4612
  • Fax: 305-594-2722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME0047137
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: