Organization
SOUTH COUNTY UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D ZIFFER MD (OWNER)
(561) 495-7570
Entity
Organization
Contact information
Practice address
5258 LINTON BLVD, SUITE 203, DELRAY BEACH, FL 33484-6540
(561) 495-7570
(561) 496-7074
Mailing address
5258 LINTON BLVD, SUITE 203, DELRAY BEACH, FL 33484-6540
(561) 495-7570
(561) 496-7074
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 46004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21423
BLUE CROSS BLUE SHIELD
FL
01
—
9682429
GHI
FL
01
—
DG5614
RAILROAD MEDICARE
FL
Enumeration date
05/11/2006
Last updated
08/16/2011
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