MEDICARE: RONALD STUART ZELNICK 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	208C00000X	Colon & Rectal Surgery Physician	57409	FL
2	208600000X	Surgery Physician	57409	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	:	1871589598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD STUART ZELNICK M.D.

Provider Business Mailing Address
First Line	:	210 JUPITER LAKES BLVD
Second Line	:	3105
City	:	JUPITER
State	:	FL
Zip	:	33458-7191
Country	:	US
Telephone Number	:	561-575-7875
Fax Number	:	561-575-5874

Provider Business Practice Location Address
First Line	:	210 JUPITER LAKES BLVD
Second Line	:	3105
City	:	JUPITER
State	:	FL
Zip	:	33458-7191
Country	:	US
Telephone Number	:	561-575-7875
Fax Number	:	561-575-5874

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	12/22/2021

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