MEDICARE: DR. FRANK HENRY ZIMMERMAN DMD

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	1223G0001X	General Practice Dentistry	DN25352	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	:	1518577329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK HENRY ZIMMERMAN DMD

Provider Business Mailing Address
First Line	:	12868 BAY PLANTATION DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-0784
Country	:	US
Telephone Number	:	904-200-0319
Fax Number	:

Provider Business Practice Location Address
First Line	:	3676 CROWN POINT CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5966
Country	:	US
Telephone Number	:	904-268-2011
Fax Number	:

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

Provider Enumeration Date	:	08/06/2020
Last Update Date	:	08/06/2020

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