MEDICARE: DONNA ANN ZEIDE M.D.

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	207N00000X	Dermatology Physician	ME47136	FL

General Provider Information

NPI Number	:	1528149309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA ANN ZEIDE M.D.

Provider Business Mailing Address
First Line	:	94 DUNBAR RD E
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-6830
Country	:	US
Telephone Number	:	561-627-0580
Fax Number	:

Provider Business Practice Location Address
First Line	:	94 DUNBAR RD E
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-6830
Country	:	US
Telephone Number	:	561-627-0580
Fax Number	:

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	09/20/2010

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