Healthcare Provider Details

I. General information

NPI: 1265440523
Provider Name (Legal Business Name): PAUL S ZUERCHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 VENETIAN CT STE 2
NAPLES FL
34109-8727
US

IV. Provider business mailing address

2230 VENETIAN CT STE 2
NAPLES FL
34109-8727
US

V. Phone/Fax

Practice location:
  • Phone: 239-566-3100
  • Fax: 239-566-1950
Mailing address:
  • Phone: 239-566-3100
  • Fax: 239-566-1950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME133399
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: