Organization
CARL ZOLLICOFFER MD PA
Active
Other names
GRACE WOMENS HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL DONNELL ZOLLICOFFER M.D. (OWNER)
(772) 429-3400
Entity
Organization
Contact information
Practice address
2401 FRIST BLVD, SUITE 3, FORT PIERCE, FL 34950-4839
(772) 429-3400
(772) 429-3410
Mailing address
2401 FRIST BLVD, SUITE 3, FORT PIERCE, FL 34950-4839
(772) 429-3400
(772) 429-3410
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
10/04/2007
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