=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265440523
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAUL S ZUERCHER MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2006
-----------------------------------------------------
Last Update Date | 08/12/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2230 VENETIAN CT STE 2
-----------------------------------------------------
City | NAPLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34109-8727
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-566-3100
-----------------------------------------------------
Fax | 239-566-1950
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2230 VENETIAN CT STE 2
-----------------------------------------------------
City | NAPLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34109-8727
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-566-3100
-----------------------------------------------------
Fax | 239-566-1950
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | ME133399
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------