Zunkiewicz, Mark Richard

Zunkiewicz, Mark Richard is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 206 , Daytona Beach FL 32117-5169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Zunkiewicz, Mark Richard can be contacted via phone (386) 231-4450.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 206 Daytona Beach FL 32117-5169
Phone: (386) 231-4450
Fax: (386) 231-4459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35095661 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME134460 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35095661 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME134460 Florida

Profile Details

NPI number 1104077064
LBN Legal business name Zunkiewicz, Mark Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Mar 7th, 2023 - about last year

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 1104077064 NPPES
Ohio MEDICAID 3071143
Ohio Other 35095661

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