Individual
ROSA ZIDELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
311 N ORANGE ST, NEW SMYRNA BEACH, FL 32168-6733
(386) 416-1023
(386) 416-1037
Mailing address
311 N ORANGE ST, NEW SMYRNA BEACH, FL 32168-6733
(386) 416-1023
(386) 416-1037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 15540
FL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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