Healthcare Provider Details

I. General information

NPI: 1821768664
Provider Name (Legal Business Name): CARY M ZINKIN DPM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 09/14/2021
Certification Date: 09/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 W ATLANTIC BLVD
POMPANO BEACH FL
33060-6048
US

IV. Provider business mailing address

PO BOX 4997
DEERFIELD BEACH FL
33442-4997
US

V. Phone/Fax

Practice location:
  • Phone: 954-781-3122
  • Fax:
Mailing address:
  • Phone: 954-426-8833
  • Fax: 954-426-9975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: CARY ZINKIN
Title or Position: PODIATRIST
Credential:
Phone: 954-757-9496