Individual
RALPH JOSEPH ZWOLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5111 S RIDGEWOOD AVE, SUITE 102, PORT ORANGE, FL 32127-5169
(386) 763-4484
(386) 763-1288
Mailing address
1673 MASON AVE, SUITE 107, DAYTONA BEACH, FL 32117-5515
(386) 274-7118
(386) 274-6173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
000046005
FL
2084N0400X
Neurology Physician
Primary
ME 46005
FL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
NE 46005
FL
208VP0000X
Pain Medicine Physician
ME 46005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098653400
—
FM
01
—
64543
BC/BS
FL
01
—
P00827133
RAILROAD MEDICARE
FL
Enumeration date
11/09/2005
Last updated
03/28/2011
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