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Contact Information

CHARLES J ZELLER IV, DO
1801 W SAMPLE RD STE 101
DEERFIELD BEACH, FL33064-1370
 Phone: 954-888-3800
 Fax: 954-888-3808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CHARLES J ZELLER IV · (Male)

NPI # 1720086366
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/08/2005
Last updated 06/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # OS14031
  • IN License # 02002597A
  • OH License # 34-00-7236-Z
  • FL Medicaid 017597600
Hospital affiliation(s)
  • BROWARD HEALTH NORTH - (Acute Care)
    201 E SAMPLE RD
    POMPANO BEACH, FL 33064
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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