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Organization
CARL ZOLLICOFFER MD PA
Active
Organization
CARL ZOLLICOFFER MD PA
Active
Other names
GRACE WOMENS HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL DONNELL ZOLLICOFFER M.D. (OWNER)
(772) 429-3400
Entity
Organization
Contact information
Practice address
2401 FRIST BLVD, SUITE 3, FORT PIERCE, FL 34950-4839
(772) 429-3400
(772) 429-3410
Mailing address
2401 FRIST BLVD, SUITE 3, FORT PIERCE, FL 34950-4839
(772) 429-3400
(772) 429-3410
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
10/04/2007
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