Basic Information
Provider Information
NPI: 1215990346
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZWIBEL
FirstName: HOWARD
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8940 N KENDALL DR
Address2: 802 E
City: MIAMI
State: FL
PostalCode: 331762148
CountryCode: US
TelephoneNumber: 3055954041
FaxNumber: 3055956638
Practice Location
Address1: 8940 N KENDALL DR
Address2: 802 E
City: MIAMI
State: FL
PostalCode: 331762148
CountryCode: US
TelephoneNumber: 3055954041
FaxNumber: 3055956638
Other Information
ProviderEnumerationDate: 04/10/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X  Y Other Service ProvidersSpecialist 

No ID Information.


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