MEDICARE: ZWEIBACH & CHAMPION, M.D.S, P.A.

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	174400000X	Specialist	154572.0000	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1437255650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZWEIBACH & CHAMPION, M.D.S, P.A.

Provider Business Mailing Address
First Line	:	815 S PARSONS AVE
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-6063
Country	:	US
Telephone Number	:	813-571-2777
Fax Number	:	813-571-2888

Provider Business Practice Location Address
First Line	:	815 S PARSONS AVE
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-6063
Country	:	US
Telephone Number	:	813-571-2777
Fax Number	:	813-571-2888

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEPHEN M ZWEIBACH
Credential	:	M.D.
Telephone Number	:	813-571-2777

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	10/25/2012

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