Individual
DR. PAUL DAVID ZISLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1616 PHYSICIANS DR, TALLAHASSEE, FL 32308-4619
(850) 431-5105
(850) 431-6727
Mailing address
2606 CENTENNIAL PL, TALLAHASSEE, FL 32308-0572
(850) 205-0189
(850) 205-0189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0051755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09756
BLUE CROSS BLUE SHEILD
—
Enumeration date
05/11/2006
Last updated
10/24/2017
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