Provider Demographics
NPI:1417292814
Name:SCHELLER, ZBIGNIEW (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:ZBIGNIEW
Middle Name:
Last Name:SCHELLER
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 WELLS RD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-3624
Mailing Address - Country:US
Mailing Address - Phone:561-655-3823
Mailing Address - Fax:561-655-4106
Practice Address - Street 1:231 WELLS RD
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-3624
Practice Address - Country:US
Practice Address - Phone:561-655-3823
Practice Address - Fax:561-655-4106
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME22183207ZP0102X
MDDOO15638207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology