Active NPI
Daniel J. Zaluzec Mdpa
- Otolaryngology Physician
- Port Saint Lucie, FL
National Provider Identifier
1174830558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME86921
- Legal business name
- DANIEL J. ZALUZEC MDPA
- Practice address
- 101 NE Charleston Oaks Dr
Port Saint Lucie, FL 34983-3345 - Phone
- (772) 343-0000
- NPI assigned
- Sep 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel John Zaluzec, M.D.
- Title
- President
- Phone
- (772) 342-6647
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME86921 | FL | Primary |
Addresses
Primary practice location
101 NE Charleston Oaks Dr
Port Saint Lucie, FL 34983-3345
Mailing address
101 NE Charleston Oaks Dr
Port Saint Lucie, FL 34983-3345
Phone (772) 343-0000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266524700 | Medicaid | FL | |
| 71787 | Other | FL | BLUE CROSS/BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1801 SE Hillmoor Dr
#J
Port Saint Lucie, FL 34952
Phone (772) 337-0072
1801 SE Hillmoor Dr
#110
Port St Lucie, FL 34952
Phone (772) 335-0072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283904000000",
"number": "1174830558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NE CHARLESTON OAKS DR",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349833345",
"telephone_number": "772-343-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NE CHARLESTON OAKS DR",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349833345",
"telephone_number": "772-343-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL J. ZALUZEC MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A",
"authorized_official_last_name": "ZALUZEC",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-342-6647",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME86921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266524700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "71787",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.