Healthcare Provider Details

I. General information

NPI: 1518953348
Provider Name (Legal Business Name): PATRICIA M ZYLMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1674 W HIBISCUS BLVD
MELBOURNE FL
32901-2631
US

IV. Provider business mailing address

1674 W HIBISCUS BLVD
MELBOURNE FL
32901-2631
US

V. Phone/Fax

Practice location:
  • Phone: 321-473-4647
  • Fax: 321-821-4917
Mailing address:
  • Phone: 321-473-4647
  • Fax: 321-821-4917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number66236
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME66236
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: