Provider Demographics
NPI:1679675813
Name:ZUNIGA, JOSE A (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:A
Last Name:ZUNIGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4631 N CONGRESS AVE
Mailing Address - Street 2:200
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:561-845-0500
Mailing Address - Fax:561-296-1101
Practice Address - Street 1:4631 N CONGRESS AVE
Practice Address - Street 2:200
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-845-0500
Practice Address - Fax:561-296-1101
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 391322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD57133Medicare UPIN
FL61183YMedicare PIN
FL61183Medicare UPIN