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Organization
THEODOR V.B. VON ZIELINSKI, M.D., P.A.
Active
Organization
THEODOR V.B. VON ZIELINSKI, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODOR V.B. VON ZIELINSKI M.D. (OWNER)
(772) 562-8773
Entity
Organization
Contact information
Practice address
777 37TH ST, C104, VERO BEACH, FL 32960-4873
(772) 562-8773
(772) 562-0646
Mailing address
777 37TH ST, C104, VERO BEACH, FL 32960-4873
(772) 562-8773
(772) 562-0646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME37467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0850A
PROVIDER I.D.
FL
Enumeration date
11/08/2011
Last updated
01/03/2012
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