Zelaya, Mario

Zelaya, Mario is an individual health care provider with primary practice located at 92 W Miller St , Orlando FL 32806-2032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Zelaya, Mario can be contacted via phone (321) 841-4607.

Contact Information

Primary practice address
92 W Miller St Orlando FL 32806-2032
Phone: (321) 841-4607
Fax: (321) 841-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0063378 Maryland
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C168072 California
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X ME110456 Florida

Profile Details

NPI number 1912931239
LBN Legal business name Zelaya, Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912931239 NPPES
Florida Other ME110456 MEDICAL LICENSE
Florida MEDICAID 003741700 MEDICAL LICENSE

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