Individual
JUAN CARLOS ZARATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
129 E REDSTONE AVE, SUITE A, CRESTVIEW, FL 32539-5364
(850) 682-7212
(850) 682-6727
Mailing address
129 E REDSTONE AVE, SUITE A, CRESTVIEW, FL 32539-5364
(850) 682-7212
(850) 682-6727
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0055146
FL
207RI0011X
Interventional Cardiology Physician
ME55146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256871300
—
FL
Enumeration date
09/16/2005
Last updated
11/29/2016
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