Individual
DEAN J ZIMMERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
240 SOUTHPARK CIR E, SAINT AUGUSTINE, FL 32086-5137
(904) 824-1450
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112964
FL
Other
Enumeration date
02/18/2020
Last updated
12/10/2020
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