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Individual

HEINRO VAN ZYL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 CORAL HILLS DR, EMERGENCY DEPARTMENT, CORAL SPRINGS, FL 33065-4108
(954) 344-3108
(919) 425-0478
Mailing address
3114 CROASDAILE DR STE 200, DURHAM, NC 27705-2508
(919) 425-1565
(919) 425-0778

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39056
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009910989
AL
05
3327767
TN
05
3327768
TN
01
4097072
BLUE CROSS
TN
01
4106417
BLUE CROSS
TN
01
4151568
BLUE CROSS
TN
01
P00294890
MEDICARE RAILROAD
TN
Enumeration date
05/25/2006
Last updated
12/11/2009
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