Individual
IRA A ZUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7451 GLADIOLUS DR, FORT MYERS, FL 33908-5193
(239) 689-8800
(239) 939-7774
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME57412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10293
BCBS PROVIDER #
FL
01
—
1193525
WELLCARE
FL
01
—
1689688
CIGNA PRIOVIDER #
FL
01
—
208980
AVMED PROVIDER #
FL
01
—
4133111
AETNA PROVIDER #
FL
01
—
P00387302
RAILROAD MEDICARE
FL
Enumeration date
09/28/2006
Last updated
08/30/2016
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