Provider Demographics
NPI:1366623092
Name:GEOFFREY J ZANN MD PA
Entity Type:Organization
Organization Name:GEOFFREY J ZANN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-368-2005
Mailing Address - Street 1:660 GLADES RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6465
Mailing Address - Country:US
Mailing Address - Phone:561-368-2005
Mailing Address - Fax:
Practice Address - Street 1:660 GLADES RD
Practice Address - Street 2:SUITE 240
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6465
Practice Address - Country:US
Practice Address - Phone:561-368-2005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME48352207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02711Medicare PIN