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NPI Code Detail

MEDICARE: DREW AVERY ZITOMER

MEDICARE: DREW AVERY ZITOMER
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
1225XH1200XHand Occupational Therapist26822FL

General Provider Information

NPI Number : 1205785151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DREW AVERY ZITOMER
Provider Business Mailing Address
First Line : 2811 1ST ST S
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-5908
Country : US
Telephone Number : 609-705-3452
Fax Number :
Provider Business Practice Location Address
First Line : 6248 103RD ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-7733
Country : US
Telephone Number : 904-573-0046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ DREW AVERY ZITOMER ” Practice Location

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