| Suncoast Medical Associates Pa | |
|
601 Deltona Blvd Suite #101 Deltona FL 32725-8017 | |
| (386) 574-6079 | |
| Not Available |
| Full Name | Suncoast Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 Deltona Blvd, Deltona, Florida |
| Authorized Official Name and Position | Eva R Zavala (OFFICE MANAGER) |
| Authorized Official Contact | 3865746079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Medical Associates Pa 601 Deltona Blvd Suite #101 Deltona FL 32725-8017 Ph: (386) 574-6079 | Suncoast Medical Associates Pa 601 Deltona Blvd Suite #101 Deltona FL 32725-8017 Ph: (386) 574-6079 |
| NPI Number | 1952429326 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/08/2008 |
| Medicare PECOS PAC ID | 8527036110 |
|---|---|
| Medicare Enrollment ID | O20040921001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952429326 | NPI | - | NPPES |
| K3363 | Other | FL | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Walter A Zavala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104802982 PECOS PAC ID: 0345218939 Enrollment ID: I20080909000660 |
| Provider Name | Walter Ivan Zavala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124482849 PECOS PAC ID: 2769860865 Enrollment ID: I20220601002915 |
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