Healthcare Provider Details

I. General information

NPI: 1073755864
Provider Name (Legal Business Name): PATRICIA ELIZABETH ZERRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2009
Last Update Date: 08/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136
US

IV. Provider business mailing address

2131 OAKAWANA DR NE
ATLANTA GA
30345-3548
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-6042
  • Fax:
Mailing address:
  • Phone: 305-989-1007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME113134
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number071915
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number071915
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: