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NPI Code Detail

MEDICARE: JORGE IVAN ZELEDON MD

MEDICARE:   JORGE IVAN ZELEDON  MD
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
1207RN0300XNephrology PhysicianME103963FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1145AXOTHERFLBCBS

General Provider Information

NPI Number : 1265571293
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE IVAN ZELEDON MD
Provider Business Mailing Address
First Line : 6801 N HIGHWAY 27 STE C3
Second Line :
City : SEBRING
State : FL
Zip : 33870-1000
Country : US
Telephone Number : 863-314-0880
Fax Number : 863-837-4475
Provider Business Practice Location Address
First Line : 6801 N HIGHWAY 27 STE C3
Second Line :
City : SEBRING
State : FL
Zip : 33870-1000
Country : US
Telephone Number : 863-314-0880
Fax Number : 863-837-4475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 10/02/2023

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Directions to “ JORGE IVAN ZELEDON MD” Practice Location

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