Healthcare Provider Details

I. General information

NPI: 1144235987
Provider Name (Legal Business Name): CATHERINE R ZELNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8853 COMMODITY CIRCLE SUITE 10
ORLANDO FL
32819-9010
US

IV. Provider business mailing address

PO BOX 1878
WINDERMERE FL
34786-1878
US

V. Phone/Fax

Practice location:
  • Phone: 407-345-5055
  • Fax: 407-345-5455
Mailing address:
  • Phone: 407-345-5055
  • Fax: 407-345-5455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME78078
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: