Provider Demographics
NPI:1144235987
Name:ZELNER, CATHERINE R (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:R
Last Name:ZELNER
Suffix:
Gender:F
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 1878
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-1878
Mailing Address - Country:US
Mailing Address - Phone:407-345-5055
Mailing Address - Fax:407-345-5455
Practice Address - Street 1:8853 COMMODITY CIRCLE
Practice Address - Street 2:SUITE 10
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9010
Practice Address - Country:US
Practice Address - Phone:407-345-5055
Practice Address - Fax:407-345-5455
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78078207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F38282Medicare UPIN
FL46507Medicare ID - Type Unspecified