Individual
COLLEEN M. ZITTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1285 ORANGE AVE, WINTER PARK, FL 32789-4949
(407) 647-2287
(407) 643-2801
Mailing address
1285 ORANGE AVE, WINTER PARK, FL 32789-4949
(407) 647-2287
(407) 643-2801
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
ME0067678
FL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME67678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200030015
RAILROAD
FL
01
—
27377
BC/BS
FL
05
—
377900900
—
FL
Enumeration date
07/15/2005
Last updated
11/24/2020
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