Provider Demographics
NPI:1407837313
Name:ZINNER, MICHAEL JEFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JEFFREY
Last Name:ZINNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1575 SAN IGNACIO AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3067
Mailing Address - Country:US
Mailing Address - Phone:786-527-8010
Mailing Address - Fax:786-527-8010
Practice Address - Street 1:1575 SAN IGNACIO AVE
Practice Address - Street 2:STE 100
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3067
Practice Address - Country:US
Practice Address - Phone:786-527-8010
Practice Address - Fax:786-527-8010
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA79952208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A62309Medicare UPIN