Provider Demographics
NPI:1073014817
Name:ZAMOTA, YULIYA (DO)
Entity Type:Individual
Prefix:DR
First Name:YULIYA
Middle Name:
Last Name:ZAMOTA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5771 ROOSEVELT BLVD STE 610
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-3415
Mailing Address - Country:US
Mailing Address - Phone:727-523-2180
Mailing Address - Fax:
Practice Address - Street 1:5771 ROOSEVELT BLVD STE 610
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3415
Practice Address - Country:US
Practice Address - Phone:727-523-2180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS17290207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine