Individual
AMY LYNN ZILCOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
807 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-7271
(386) 428-5554
(386) 428-6291
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4000
(386) 226-4577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA3751
LICENSE
DC
Enumeration date
09/15/2006
Last updated
09/05/2019
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