Individual
DR. CHARLES J ZELLER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1801 W SAMPLE RD STE 101, DEERFIELD BEACH, FL 33064-1370
(954) 888-3800
(954) 888-3808
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 888-3800
(954) 888-3808
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
02002597A
IN
207Y00000X
Otolaryngology Physician
Primary
OS14031
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
34-00-7236-Z
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017597600
—
FL
Enumeration date
07/08/2005
Last updated
06/05/2024
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