| Zisholtz Family Practice Pa | |
|
1502 N Donnelly Street Suite 106 Mt Dora FL 32757 | |
| (352) 383-1324 | |
| Not Available |
| Full Name | Zisholtz Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1502 N Donnelly Street, Mt Dora, Florida |
| Authorized Official Name and Position | Todd C Zisholtz (OWNER) |
| Authorized Official Contact | 3526381503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zisholtz Family Practice Pa Po Box 914 Mt Dora FL 32756 Ph: () - | Zisholtz Family Practice Pa 1502 N Donnelly Street Suite 106 Mt Dora FL 32757 Ph: (352) 383-1324 |
| NPI Number | 1932130457 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932130457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME94395 (Florida) | Primary |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carehere Clinic- City Of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 Phone: 615-221-5901 | |
Henry J Richter Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 N Donnelly St, Suite 110, Mt Dora, FL 32757 Phone: 352-735-0068 Fax: 352-735-0305 |