Provider Demographics
NPI:1528149309
Name:ZEIDE, DONNA ANN (MD)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:ANN
Last Name:ZEIDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 DUNBAR RD E
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-6830
Mailing Address - Country:US
Mailing Address - Phone:561-627-0580
Mailing Address - Fax:
Practice Address - Street 1:94 DUNBAR RD E
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-6830
Practice Address - Country:US
Practice Address - Phone:561-627-0580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME47136207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology