Healthcare Provider Details

I. General information

NPI: 1174122667
Provider Name (Legal Business Name): PATRICIA ANN ZAVALETA NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2020
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 OKEECHOBEE BLVD FL 14
WEST PALM BEACH FL
33401-6349
US

IV. Provider business mailing address

2950 CLEVELAND CLINIC BLVD FL 3609
WESTON FL
33331-3609
US

V. Phone/Fax

Practice location:
  • Phone: 561-804-0200
  • Fax: 561-804-0222
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11016636
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: