Basic Information
| Provider Information | |||||||||
| NPI: | 1073729240 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RALPH ZIPPER MD PA | ||||||||
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| OtherOrganizationName: | ZIPPER UROGYNECOLOGY ASSOCIATES | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 S HARBOR CITY BLVD STE 401 | ||||||||
| Address2: | |||||||||
| City: | MELBOURNE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329011389 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3216742114 | ||||||||
| FaxNumber: | 3216742118 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 S HARBOR CITY BLVD STE 401 | ||||||||
| Address2: | |||||||||
| City: | MELBOURNE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329011389 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3216742114 | ||||||||
| FaxNumber: | 3216742118 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2007 | ||||||||
| LastUpdateDate: | 10/24/2018 | ||||||||
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| AuthorizedOfficialLastName: | ZIPPER | ||||||||
| AuthorizedOfficialFirstName: | RALPH | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3216742114 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | M.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | ME76190 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
No ID Information.