Rosa Zidelis M.D.

NPI 1134234040 - Specialist - 174400000X

NPI Details
NPI 1134234040
Gender Female
Enumeration Date 08/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
311 N ORANGE ST
NEW SMYRNA BEACH FL, 32168-6733, US
Phone (386) 416-1023
Fax (386) 416-1037
Business Location
311 N ORANGE ST
NEW SMYRNA BEACH FL, 32168-6733, US
Phone (386) 416-1023
Fax (386) 416-1037
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME 15540
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According to our database, Rosa Zidelis M.D. NPI is 1134234040, taxonomy code is 174400000X and license number is ME 15540, license state is located at Florida. Rosa Zidelis M.D. physically located at 311 N Orange St, New Smyrna Beach FL, 32168-6733. NPI Number Rosa Zidelis M.D. has the Individual type.

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1134234040 NPI number is provided on an as is basis without warranty of any kind. 1134234040 is maintained by the National Plan & Provider Enumeration System. The contents of Rosa Zidelis M.D. are for informational purposes only.