Individual
DR. MARK RICHARD ZUNKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 206, DAYTONA BEACH, FL 32117-5169
(386) 231-4450
(386) 231-4459
Mailing address
305 MEMORIAL MEDICAL PKWY STE 206, DAYTONA BEACH, FL 32117-5169
(386) 231-4450
(386) 231-4459
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35095661
OH
207X00000X
Orthopaedic Surgery Physician
Primary
ME134460
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35095661
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME134460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071143
—
OH
01
—
35095661
STATE LICENSE
OH
Enumeration date
10/08/2008
Last updated
03/07/2023
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