Individual
ZACHARY RICHARD DIONISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 SAINT ELIZABETH WAY STE 145, ST JOHNS, FL 32259-1153
(904) 355-6583
Mailing address
710 LOMAX ST, JACKSONVILLE, FL 32204-4098
(904) 355-6583
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME173648
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
06/20/2025
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