MEDICARE: KARIN ZEATON D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	OS10311	FL
2	207P00000X	Emergency Medicine Physician	060343	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033260831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIN ZEATON D.O.

Provider Business Mailing Address
First Line	:	13507 STONE POND DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-1626
Country	:	US
Telephone Number	:	913-461-6791
Fax Number	:

Provider Business Practice Location Address
First Line	:	13507 STONE POND DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-1626
Country	:	US
Telephone Number	:	913-461-6791
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/02/2008

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