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General NPI Number Information
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NPI Number | 1518145283
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Entity Type | Organization
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Legal Business Name | JEFFREY L ZIMM MD PA
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 1435 IMMOKALEE RD
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City | NAPLES
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State | FL
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Zip | 34110-1401
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Country | US
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Telephone | 239-592-5511
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Fax | 239-592-9259
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Provider Business Mailing Address
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Address Line | 1435 IMMOKALEE RD
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City | NAPLES
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State | FL
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Zip | 34110-1401
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Country | US
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Telephone | 239-592-5511
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Fax | 239-592-9259
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Authorized Official
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Title or Position | MD / AUTHORIZED OFFICIAL
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Name | JEFFREY L ZIMM
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Credential |
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Telephone | 239-592-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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