Zies, Peter Mangone
Zies, Peter Mangone is an individual health care provider with primary practice located at 17 East Silver Palm Avenue , Melbourne FL 32901-3123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Zies, Peter Mangone can be contacted via phone (321) 725-9041.Contact Information
Primary practice address
17 East Silver Palm Avenue
Melbourne FL 32901-3123
Phone: (321) 725-9041
Fax: (321) 722-9248
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 14855 | Florida |
Profile Details
NPI number | 1023046885 |
---|---|
LBN Legal business name | Zies, Peter Mangone |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023046885 | NPPES |
Other | 139150553743 | HUMANA | |
Other | CL1732 | HUMANA | |
Other | D55350 | HUMANA | |
Other | 48587 | HUMANA |
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