ROSA ZIDELIS M.D. NPI 1134234040

NPI Information

  • NPI: 1134234040
  • Provider Name: ROSA ZIDELIS, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 311 N ORANGE ST
    NEW SMYRNA BEACH, FL
    ZIP 32168
  • Phone: (386) 416-1023

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NPI Details

Rosa Zidelis, M.D. is a specialist in New Smyrna Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Rosa Zidelis, M.D. NPI is 1134234040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

311 N ORANGE ST
NEW SMYRNA BEACH, FL
ZIP 32168-733
Phone: (386) 416-1023
Fax: (386) 416-1037

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME 15540FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D56482MEDICARE UPINFLORIDA
253373ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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