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NPI Code Detail

MEDICARE: JODE ZITO

MEDICARE: JODE ZITO
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1912505876
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODE ZITO
Provider Business Mailing Address
First Line : 5126 IROQUOIS AVE
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-3253
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5126 IROQUOIS AVE
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-3253
Country : US
Telephone Number : 808-724-4352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2020
Last Update Date : 10/13/2020

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Directions to “ JODE ZITO ” Practice Location

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