NPIMap

Organization Active NPI

Carl Zollicoffer MD PA

  • Obstetrics & Gynecology Physician
  • Fort Pierce, FL
National Provider Identifier
1528076882
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CARL ZOLLICOFFER MD PA
Practice address
2401 Frist Blvd
Suite 3
Fort Pierce, FL 34950-4839
Phone
(772) 429-3400
Fax
(772) 429-3410
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Carl Donnell Zollicoffer, M.D.NPI 1427023530
Title
Owner
Phone
(772) 429-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2401 Frist Blvd
Suite 3
Fort Pierce, FL 34950-4839

Mailing address

2401 Frist Blvd
Suite 3
Fort Pierce, FL 34950-4839
Phone (772) 429-3400

Other names 1

  • GRACE WOMENS HEALTHCARE Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1528076882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 FRIST BLVD",
            "address_2": "SUITE 3",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504839",
            "telephone_number": "772-429-3400",
            "fax_number": "772-429-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FRIST BLVD",
            "address_2": "SUITE 3",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504839",
            "telephone_number": "772-429-3400",
            "fax_number": "772-429-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL ZOLLICOFFER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "ZOLLICOFFER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DONNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-429-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE WOMENS HEALTHCARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.