Healthcare Provider Details

I. General information

NPI: 1962454454
Provider Name (Legal Business Name): MITCHELL ZEITLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 PINE RIDGE RD
NAPLES FL
34119-3900
US

IV. Provider business mailing address

6101 PINE RIDGE RD
NAPLES FL
34119-3900
US

V. Phone/Fax

Practice location:
  • Phone: 239-348-4000
  • Fax: 239-304-5157
Mailing address:
  • Phone: 239-304-4862
  • Fax: 239-304-5157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberFLME0077494
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: