Provider Demographics
NPI:1962052449
Name:JORGE I ZELEDON MD PA
Entity type:Organization
Organization Name:JORGE I ZELEDON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:IVAN
Authorized Official - Last Name:ZELEDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-314-0880
Mailing Address - Street 1:6801 N HIGHWAY 27 STE C3
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-1000
Mailing Address - Country:US
Mailing Address - Phone:863-314-0880
Mailing Address - Fax:863-837-4475
Practice Address - Street 1:6801 N HIGHWAY 27 STE C3
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1000
Practice Address - Country:US
Practice Address - Phone:863-314-0880
Practice Address - Fax:863-837-4475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty