MEDICARE: DR. MATTHEW B ZARRAGA D.O.

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	OS11011	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	:	1831327790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW B ZARRAGA D.O.

Provider Business Mailing Address
First Line	:	2838 E. OAKLAND PARK BOULEVARD
Second Line	:	S. 201
City	:	FOURT LAUDERDALE
State	:	FL
Zip	:	33306-1814
Country	:	US
Telephone Number	:	954-564-0040
Fax Number	:	954-564-0048

Provider Business Practice Location Address
First Line	:	2838 E. OAKLAND PARK BOULEVARD
Second Line	:	S. 201
City	:	FOURT LAUDERDALE
State	:	FL
Zip	:	33306-1814
Country	:	US
Telephone Number	:	954-564-0040
Fax Number	:	954-564-0048

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

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	11/03/2020

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