MEDICARE: PATRICIA ANN ZAVALETA NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11016636	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174122667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN ZAVALETA NP-C

Provider Business Mailing Address
First Line	:	2950 CLEVELAND CLINIC BLVD FL 3609
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3609
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 OKEECHOBEE BLVD FL 14
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6349
Country	:	US
Telephone Number	:	561-804-0200
Fax Number	:	561-804-0222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2020
Last Update Date	:	12/08/2025

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