Zetterower, Paul David

Zetterower, Paul David is an individual health care provider with primary practice located at 3625 University Blvd S , Jacksonville FL 32216-4207. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Zetterower, Paul David can be contacted via phone (904) 399-6190.

Contact Information

Primary practice address
3625 University Blvd S Jacksonville FL 32216-4207
Phone: (904) 399-6190
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9234772 Florida

Profile Details

NPI number 1528271780
LBN Legal business name Zetterower, Paul David
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Dec 17th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528271780 NPPES
Florida Other P00430939 RR MEDICARE
Florida MEDICAID 768585800 RR MEDICARE
Florida Other Y113B RR MEDICARE

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