Provider Demographics
NPI:1316977499
Name:ZALEPUGA, RIMANTAS (MD)
Entity type:Individual
Prefix:
First Name:RIMANTAS
Middle Name:
Last Name:ZALEPUGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15089
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34280-5089
Mailing Address - Country:US
Mailing Address - Phone:941-761-1800
Mailing Address - Fax:941-761-1883
Practice Address - Street 1:4502 CORTEZ RD W STE 204
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-3124
Practice Address - Country:US
Practice Address - Phone:941-761-1800
Practice Address - Fax:941-761-1883
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85682207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260276800Medicaid
FL51465OtherBCBS
FL7339369OtherAETNA
FL0290909OtherCIGNA
FL200793285001OtherMEDICAL MUTUAL
FL209289OtherSTAYWELL HEALTHEASE WELLC
FLAA84799OtherHARVARD PILGRIM HPHC
FL115965OtherHEALTHPARTNERS
FLP00149433OtherRAIL ROAD MEDICARE
FL315103OtherAMERIGROUP VA
FL51465YMedicare PIN
FLP00149433OtherRAIL ROAD MEDICARE