Organization
MIRA ZELIN, DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRA ZELIN DO (PHYSICIAN)
(479) 530-7035
Entity
Organization
Contact information
Practice address
12440 CORTEZ BLVD, BROOKSVILLE, FL 34613-2628
(479) 601-2314
(479) 246-9005
Mailing address
PO BOX 12038, BROOKSVILLE, FL 34603-2038
(479) 601-2314
(479) 246-9005
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS11859
FL
Other
Enumeration date
06/16/2011
Last updated
10/10/2012
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