Provider Demographics
NPI:1699523878
Name:PETER P ZABINSKI MD UROLOGY LLC
Entity type:Organization
Organization Name:PETER P ZABINSKI MD UROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:P
Authorized Official - Last Name:ZABINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-372-1372
Mailing Address - Street 1:1405 PINE ST
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3118
Mailing Address - Country:US
Mailing Address - Phone:321-729-6135
Mailing Address - Fax:321-728-0304
Practice Address - Street 1:1405 PINE ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3118
Practice Address - Country:US
Practice Address - Phone:321-729-6135
Practice Address - Fax:321-728-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty