Provider Demographics
NPI:1295018018
Name:ZITO, DEBRA DEE (RRT, RDCS)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:DEE
Last Name:ZITO
Suffix:
Gender:F
Credentials:RRT, RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14200 S HIGHWAY 475
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-2005
Mailing Address - Country:US
Mailing Address - Phone:352-789-4924
Mailing Address - Fax:352-347-7896
Practice Address - Street 1:14200 S HIGHWAY 475
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-2005
Practice Address - Country:US
Practice Address - Phone:352-789-4924
Practice Address - Fax:352-347-7896
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT 2986227900000X
2471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography