Provider Demographics
NPI:1447381637
Name:ARISON, ZIPORA (MD)
Entity Type:Individual
Prefix:
First Name:ZIPORA
Middle Name:
Last Name:ARISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 E COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4040
Mailing Address - Country:US
Mailing Address - Phone:954-776-7868
Mailing Address - Fax:954-776-6674
Practice Address - Street 1:2438 E COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4040
Practice Address - Country:US
Practice Address - Phone:954-776-7868
Practice Address - Fax:954-776-6674
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00426092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL79820OtherBCBS OF FL
FL79820OtherBCBS OF FL
FL79820Medicare ID - Type Unspecified