Ernesto Zavaleta, Md, Pa | |
1099 Citrus Tower Blvd South Lake Hospital Clermont FL 34711 | |
(352) 241-9322 | |
(352) 241-9107 |
Full Name | Ernesto Zavaleta, Md, Pa |
---|---|
Speciality | Internal Medicine |
Location | 1099 Citrus Tower Blvd, Clermont, Florida |
Authorized Official Name and Position | Ernesto G Zavaleta (PRESIDENT) |
Authorized Official Contact | 3522419322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ernesto Zavaleta, Md, Pa P.o. Box 783247 Winter Garden FL 34778 Ph: (352) 241-9322 | Ernesto Zavaleta, Md, Pa 1099 Citrus Tower Blvd South Lake Hospital Clermont FL 34711 Ph: (352) 241-9322 |
NPI Number | 1649268202 |
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Provider Enumeration Date | 10/07/2005 |
Last Update Date | 03/24/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649268202 | NPI | - | NPPES |
273604700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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