Healthcare Provider Details

I. General information

NPI: 1982692554
Provider Name (Legal Business Name): ERNESTO GUSTAVO ZAVALETA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ERNESTO G ZAVALETA

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9981 S HEALTHPARK DR
FORT MYERS FL
33908-3618
US

IV. Provider business mailing address

PO BOX 783247
WINTER GARDEN FL
34778-3247
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-2052
  • Fax: 239-343-5348
Mailing address:
  • Phone: 352-241-9322
  • Fax: 352-241-9107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME79336
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number63012
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME79336
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: