Organization Active NPI

Daniel J. Zaluzec Mdpa

  • Otolaryngology Physician
  • Port Saint Lucie, FL
National Provider Identifier
1174830558
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME86921 Issued in FL
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

Updated by the provider on Sep 8, 2010

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
266524700MedicaidFL
71787OtherFLBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.