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NPI Code Detail

MEDICARE: RALPH ZIPPER MD PA

MEDICARE: RALPH ZIPPER MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology PhysicianME76190FL

General Provider Information

NPI Number : 1073729240
Entity Type Code : Organization
Provider Name (Legal Business Name) : RALPH ZIPPER MD PA
Provider Business Mailing Address
First Line : 200 S HARBOR CITY BLVD STE 401
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-1389
Country : US
Telephone Number : 321-674-2114
Fax Number : 321-674-2118
Provider Business Practice Location Address
First Line : 200 S HARBOR CITY BLVD STE 401
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-1389
Country : US
Telephone Number : 321-674-2114
Fax Number : 321-674-2118
Authorized Official
Title or Position : PRESIDENT
Name : DR. RALPH ZIPPER
Credential : M.D
Telephone Number : 321-674-2114
Provider Enumeration Date : 05/15/2007
Last Update Date : 10/24/2018

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