Basic Information
Provider Information
NPI: 1760857171
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZINNI
FirstName: MICHAEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7050 W PALMETTO PARK RD STE 20
Address2:  
City: BOCA RATON
State: FL
PostalCode: 334333462
CountryCode: US
TelephoneNumber: 5613671623
FaxNumber:  
Practice Location
Address1: 3385 BURNS RD STE 103
Address2:  
City: PALM BEACH GARDENS
State: FL
PostalCode: 334104328
CountryCode: US
TelephoneNumber: 5616309353
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/10/2015
LastUpdateDate: 12/10/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237700000XAS5040FLY Speech, Language and Hearing Service ProvidersHearing Instrument Specialist 

No ID Information.


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