Zuckerman, Kenneth
Zuckerman, Kenneth is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr , Tampa FL 33612-9416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Zuckerman, Kenneth can be contacted via phone (813) 745-4673.Contact Information
Primary practice address
12902 Usf Magnolia Dr
Tampa FL 33612-9416
Phone: (813) 745-4673
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | ME68313 | Florida |
Profile Details
| NPI number | 1609883198 |
|---|---|
| LBN Legal business name | Zuckerman, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Apr 10th, 2014 - about 10 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 | 1609883198 | NPPES |
| Florida | MEDICAID | 372843900 | |
| Florida | Other | 23046 |
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