Provider Demographics
NPI:1356387617
Name:ZAGER, ARNOLD STANLEY (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:STANLEY
Last Name:ZAGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3810 HOLLYWOOD BOULEVARD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021
Mailing Address - Country:US
Mailing Address - Phone:954-983-8511
Mailing Address - Fax:954-983-8518
Practice Address - Street 1:3810 HOLLYWOOD BOULEVARD
Practice Address - Street 2:SUITE 2
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6730
Practice Address - Country:US
Practice Address - Phone:954-983-8511
Practice Address - Fax:954-983-8518
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00204442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL93039Medicare ID - Type Unspecified
D60301Medicare UPIN