MEDICARE: GERARDO ZLOCZOVER MD

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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME0033739	FL

General Provider Information

NPI Number	:	1235233735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERARDO ZLOCZOVER MD

Provider Business Mailing Address
First Line	:	1325 S CONGRESS AVE
Second Line	:	SUITE 101
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-5802
Country	:	US
Telephone Number	:	561-737-5301
Fax Number	:	561-738-5199

Provider Business Practice Location Address
First Line	:	1325 S CONGRESS AVE
Second Line	:	SUITE 101
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-5876
Country	:	US
Telephone Number	:	561-737-5301
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	02/07/2017

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