Zeiders, Jacob W

Zeiders, Jacob W is an individual health care provider with primary practice located at 1505 S Andrews Ave , Fort Lauderdale FL 33316-2507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Zeiders, Jacob W can be contacted via phone (954) 888-8997.

Contact Information

Primary practice address
1505 S Andrews Ave Fort Lauderdale FL 33316-2507
Phone: (954) 888-8997
Fax: (954) 762-9466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME96535 Florida
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X ME96535 Florida

Profile Details

NPI number 1356455612
LBN Legal business name Zeiders, Jacob W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jun 9th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356455612 NPPES
Florida Other ME96535 MEDICAL LICENSE NUMBER
Florida Other 68319 MEDICAL LICENSE NUMBER
Florida MEDICAID 276276500 MEDICAL LICENSE NUMBER

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