Stanley Martin Zuba, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME72754 Issued in FL

Practice address

91550 Overseas Hwy
Suite #209
Tavernier, FL 33070-2506

Phone

(305) 853-0558

Fax

(305) 853-0744

NPI assigned

Feb 18, 2006

Last updated

Jun 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Keys Pediatric and Adolescent Center, Inc

  • Clinic/Center
  • Tavernier, FL
  • NPI 1033268735
  NPD (past) Authorized official

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1598730103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91550 OVERSEAS HWY",
            "address_2": "209",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702506",
            "telephone_number": "305-853-0558",
            "fax_number": "305-853-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91550 OVERSEAS HWY",
            "address_2": "SUITE #209",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702506",
            "telephone_number": "305-853-0558",
            "fax_number": "305-853-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBA",
        "first_name": "STANLEY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME72754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252832100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veteran Sailing Association LLC
• Bernard Benidict Vinoski Jr., M.D.
• John L Weare Jr., MD
• Abraham Wolfenzon, M.D.
• Zaneta Urszula Wylazlowska, MSN, APRN, AGACNP-BC

• Pediatrics Physician in Tavernier, FL
• Providers in Tavernier, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.