Provider Demographics
NPI:1457304032
Name:HYPERBARIC MEDICINE, INC.
Entity Type:Organization
Organization Name:HYPERBARIC MEDICINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZANT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:850-243-8229
Mailing Address - Street 1:913 MAR WALT DR
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-6759
Mailing Address - Country:US
Mailing Address - Phone:850-243-8229
Mailing Address - Fax:850-863-2540
Practice Address - Street 1:913 MAR WALT DR
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6759
Practice Address - Country:US
Practice Address - Phone:850-243-8229
Practice Address - Fax:850-863-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5799Medicare ID - Type Unspecified