Individual
DALE F ZIMMERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9776-1 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5501
(904) 268-6725
(904) 292-9737
Mailing address
9776-1 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5501
(904) 268-6725
(904) 292-9737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0025962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15357
BCBS OF FL
FL
Enumeration date
09/26/2005
Last updated
07/08/2007
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