Organization
DANIEL J. ZALUZEC MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOHN ZALUZEC M.D. (PRESIDENT)
(772) 342-6647
Entity
Organization
Contact information
Practice address
101 NE CHARLESTON OAKS DR, PORT SAINT LUCIE, FL 34983-3345
(772) 343-0000
Mailing address
101 NE CHARLESTON OAKS DR, PORT SAINT LUCIE, FL 34983-3345
(772) 343-0000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME86921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266524700
—
FL
01
—
71787
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
09/08/2010
Last updated
09/08/2010
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