Provider Demographics
NPI:1588995336
Name:ALTAMONTE MUA ASSOCIATES
Entity type:Organization
Organization Name:ALTAMONTE MUA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUBKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-455-1055
Mailing Address - Street 1:15848 TOWER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-9597
Mailing Address - Country:US
Mailing Address - Phone:407-455-1055
Mailing Address - Fax:407-834-1840
Practice Address - Street 1:499 E CENTRAL PKWY
Practice Address - Street 2:SUITE 115
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3402
Practice Address - Country:US
Practice Address - Phone:407-834-1809
Practice Address - Fax:407-834-1840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty