Healthcare Provider Details

I. General information

NPI: 1073518445
Provider Name (Legal Business Name): WILLIAM PIROTTE ZINK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 10/17/2011
Certification Date:
Deactivation Date: 03/17/2006
Reactivation Date: 03/23/2006

III. Provider practice location address

2909 N. ORANGE AVE. SUITE 102
ORLANDO FL
32804-4639
US

IV. Provider business mailing address

2909 N. ORANGE AVE. SUITE 102
ORLANDO FL
32804-4639
US

V. Phone/Fax

Practice location:
  • Phone: 407-894-0088
  • Fax: 407-895-6790
Mailing address:
  • Phone: 407-894-0088
  • Fax: 407-895-6790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME0042279
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: