Healthcare Provider Details

I. General information

NPI: 1154394161
Provider Name (Legal Business Name): CYNTHIA A ZELESNIK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 11/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 ROOSEVELT BLVD
CLEARWATER FL
33760-1952
US

IV. Provider business mailing address

PO BOX 10970
SAINT PETERSBURG FL
33733-0970
US

V. Phone/Fax

Practice location:
  • Phone: 727-327-7656
  • Fax: 727-322-2150
Mailing address:
  • Phone: 727-327-7656
  • Fax: 727-322-2150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberARNP2023882
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: