MEDICARE: ROBERT ZUKOWSKI LMT

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	225700000X	Massage Therapist	MA96375	FL

General Provider Information

NPI Number	:	1477416600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ZUKOWSKI LMT

Provider Business Mailing Address
First Line	:	1800 N ANDREWS AVE APT 10J
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-3905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 N ANDREWS AVE APT 10J
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-3905
Country	:	US
Telephone Number	:	646-483-8521
Fax Number	:

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

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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