# CARL ZOLLICOFFER MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** GRACE WOMENS HEALTHCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528076882
- **Authorized official:** MR. CARL DONNELL ZOLLICOFFER M.D. (OWNER)
- **Authorized official phone:** (772) 429-3400

## Contact information

- **Practice address:** 2401 FRIST BLVD, SUITE 3, FORT PIERCE, FL 34950-4839
- **Practice address phone:** (772) 429-3400
- **Practice address fax:** (772) 429-3410
- **Mailing address:** 2401 FRIST BLVD, SUITE 3, FORT PIERCE, FL 34950-4839
- **Mailing address phone:** (772) 429-3400
- **Mailing address fax:** (772) 429-3410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 10/04/2007