Provider Demographics
NPI:1538926423
Name:ZEIGLER, MADISON D
Entity type:Individual
Prefix:MR
First Name:MADISON
Middle Name:D
Last Name:ZEIGLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 S US HIGHWAY 1 APT D4
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-5914
Mailing Address - Country:US
Mailing Address - Phone:203-885-5109
Mailing Address - Fax:
Practice Address - Street 1:353 S US HIGHWAY 1 APT D4
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5914
Practice Address - Country:US
Practice Address - Phone:203-885-5109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH23474101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health