Individual
DR. STANLEY S. ZIMMELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3640 YACHT CLUB DR, # 1109, AVENTURA, FL 33180-3558
(305) 932-1103
(305) 932-1104
Mailing address
3640 YACHT CLUB DR, # 1109, AVENTURA, FL 33180-3558
(305) 932-1103
(305) 932-1104
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
012031
OH
2085R0202X
Diagnostic Radiology Physician
DO25896
OR
2085R0202X
Diagnostic Radiology Physician
Primary
OS6377
FL
2085R0202X
Diagnostic Radiology Physician
OS8012L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054047100
—
MD
01
—
1619012
GATEWAY
PA
01
—
2708793
HIGHMARK BLUE SHIELD
PA
01
—
419772
UPMC
PA
Enumeration date
07/24/2006
Last updated
03/07/2023
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