MEDICARE: MR. EDWARD A ZBELLA M.D.

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	207VE0102X	Reproductive Endocrinology Physician	ME 48354	FL
2	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	ME 48354	FL
3	207VG0400X	Gynecology Physician	ME 48354	FL

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	:	1538145339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDWARD A ZBELLA M.D.

Provider Business Mailing Address
First Line	:	2454 N MCMULLEN BOOTH RD
Second Line	:	STE 601
City	:	CLEARWATER
State	:	FL
Zip	:	33759-1353
Country	:	US
Telephone Number	:	727-796-7705
Fax Number	:	727-796-8764

Provider Business Practice Location Address
First Line	:	2454 N MCMULLEN BOOTH RD
Second Line	:	STE 601
City	:	CLEARWATER
State	:	FL
Zip	:	33759-1353
Country	:	US
Telephone Number	:	727-796-7705
Fax Number	:	727-796-8764

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	06/27/2016

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Directions to “ MR. EDWARD A ZBELLA M.D.” Practice Location

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