Individual
ELLEN MARY ZIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-9474
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 273-9474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301052078
MI
207RG0100X
Gastroenterology Physician
4301052078
MI
207RG0100X
Gastroenterology Physician
Primary
ME116412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009448900
—
FL
05
—
2900116
—
MI
Enumeration date
10/25/2006
Last updated
12/30/2013
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