Active NPI
Zofia Susan Zukotynski, M.D.
- General Practice Physician
- Stuart, FL
National Provider Identifier
1194992495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- LL610
- Practice address
- 417 SE Balboa Ave
Stuart, FL 34994-2327 - Phone
- (772) 463-4128
- NPI assigned
- May 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | LL610 | FL | Primary |
Addresses
Primary practice location
417 SE Balboa Ave
Stuart, FL 34994-2327
Mailing address
4651 NE Ocean Blvd
Unit 17
Jensen Beach, FL 34957-4359
Phone (772) 334-4777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL610 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1194992495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 NE OCEAN BLVD",
"address_2": "UNIT 17",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349574359",
"telephone_number": "772-334-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 SE BALBOA AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349942327",
"telephone_number": "772-463-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUKOTYNSKI",
"first_name": "ZOFIA",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "LL610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.