Individual
DR. JACOB W ZEIDERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2507
(954) 888-8997
(954) 762-9466
Mailing address
1505 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2507
(954) 888-8997
(954) 762-9466
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME96535
FL
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME96535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276276500
—
FL
01
—
68319
BCBS
FL
01
—
ME96535
MEDICAL LICENSE NUMBER
FL
Enumeration date
08/17/2006
Last updated
06/09/2016
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