Individual
PETER ZIJLSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-5348
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS17068
FL
207R00000X
Internal Medicine Physician
OT018159
PA
208M00000X
Hospitalist Physician
Primary
OS17068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107740100
—
FL
Enumeration date
08/31/2017
Last updated
12/14/2022
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