Organization
ERNESTO ZAVALETA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO G ZAVALETA MD (PRESIDENT)
(352) 241-9322
Entity
Organization
Contact information
Practice address
1099 CITRUS TOWER BLVD, SOUTH LAKE HOSPITAL, CLERMONT, FL 34711
(352) 241-9322
(352) 241-9107
Mailing address
P.O. BOX 783247, WINTER GARDEN, FL 34778
(352) 241-9322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273604700
—
FL
Enumeration date
10/07/2005
Last updated
03/24/2010
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