Provider Demographics
NPI:1831327790
Name:ZARRAGA, MATTHEW B (DO)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:B
Last Name:ZARRAGA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2838 E. OAKLAND PARK BOULEVARD
Mailing Address - Street 2:S. 201
Mailing Address - City:FOURT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1814
Mailing Address - Country:US
Mailing Address - Phone:954-564-0040
Mailing Address - Fax:954-564-0048
Practice Address - Street 1:2838 E. OAKLAND PARK BOULEVARD
Practice Address - Street 2:S. 201
Practice Address - City:FOURT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1814
Practice Address - Country:US
Practice Address - Phone:954-564-0040
Practice Address - Fax:954-564-0048
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11011207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology