Individual
ERNESTO GUSTAVO ZAVALETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-5348
Mailing address
PO BOX 783247, WINTER GARDEN, FL 34778-3247
(352) 241-9322
(352) 241-9107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63012
TN
207R00000X
Internal Medicine Physician
ME79336
FL
208M00000X
Hospitalist Physician
Primary
ME79336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126049000
—
FL
Enumeration date
10/07/2005
Last updated
12/04/2025
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