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:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1528271780 | NPPES |
| Florida | Other | P00430939 | RR MEDICARE |
| Florida | MEDICAID | 768585800 | RR MEDICARE |
| Florida | Other | Y113B | RR MEDICARE |
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