Provider Demographics
NPI:1285384008
Name:ZUFAN, BRYAN K
Entity type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:K
Last Name:ZUFAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 SW OTTER RUN PL
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-3047
Mailing Address - Country:US
Mailing Address - Phone:772-634-2393
Mailing Address - Fax:
Practice Address - Street 1:160 SW OTTER RUN PL
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-3047
Practice Address - Country:US
Practice Address - Phone:772-634-2393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0OtherNON-MEDICARE PROVIDER