Individual
MARIO ZELAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C168072
CA
207L00000X
Anesthesiology Physician
D0063378
MD
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME110456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003741700
—
FL
01
—
ME110456
MEDICAL LICENSE
FL
Enumeration date
07/11/2006
Last updated
07/19/2021
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