Provider Demographics
NPI:1982919163
Name:ROTHENBERG, ZDENKA
Entity type:Individual
Prefix:
First Name:ZDENKA
Middle Name:
Last Name:ROTHENBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 SAN SEBASTIAN CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1056
Mailing Address - Country:US
Mailing Address - Phone:561-213-6348
Mailing Address - Fax:561-258-8180
Practice Address - Street 1:7009 SAN SEBASTIAN CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-1056
Practice Address - Country:US
Practice Address - Phone:561-213-6348
Practice Address - Fax:561-258-8180
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2843171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist