Provider Demographics
NPI:1508865072
Name:ZBIK, ALBERT (PSYD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:ZBIK
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5975 SUNSET DR
Mailing Address - Street 2:SUITE 804
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5166
Mailing Address - Country:US
Mailing Address - Phone:305-412-0005
Mailing Address - Fax:305-740-2344
Practice Address - Street 1:5975 SUNSET DR
Practice Address - Street 2:SUITE 804
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5166
Practice Address - Country:US
Practice Address - Phone:305-412-0005
Practice Address - Fax:305-740-2344
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3683103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75714Medicare ID - Type Unspecified