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NPI Code Detail

MEDICARE: MARISSA ZIEGLER PA-C

MEDICARE: MARISSA ZIEGLER PA-C
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
1363AS0400XSurgical Physician AssistantPA9111634FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306321781
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA ZIEGLER PA-C
Provider Business Mailing Address
First Line : 845 MILLBRAE CT UNIT 3
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-8468
Country : US
Telephone Number : 734-787-9123
Fax Number :
Provider Business Practice Location Address
First Line : 1995 E OAKLAND PARK BLVD STE 250
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33306-1149
Country : US
Telephone Number : 954-791-6146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2018
Last Update Date : 06/16/2026

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Directions to “ MARISSA ZIEGLER PA-C” Practice Location

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