# ERNESTO ZAVALETA, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649268202
- **Authorized official:** ERNESTO G ZAVALETA MD (PRESIDENT)
- **Authorized official phone:** (352) 241-9322

## Contact information

- **Practice address:** 1099 CITRUS TOWER BLVD, SOUTH LAKE HOSPITAL, CLERMONT, FL 34711
- **Practice address phone:** (352) 241-9322
- **Practice address fax:** (352) 241-9107
- **Mailing address:** P.O. BOX 783247, WINTER GARDEN, FL 34778
- **Mailing address phone:** (352) 241-9322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2005
- **Last updated:** 03/24/2010