Zachary Kornblum is a student in an organized health care education training program in Fort Lauderdale, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Zachary Kornblum NPI is 1063075075. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1600 S ANDREWS AVE
FORT LAUDERDALE, FL
ZIP 33316-510
Phone: (954) 459-2091
The enumeration date for this NPI number is 4/16/2019 and was last updated on 4/16/2019.