Provider Demographics
NPI:1336119718
Name:ZELINKA, MAUREEN (MD)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:ZELINKA
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 1:4995 S US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34982-7079
Mailing Address - Country:US
Mailing Address - Phone:772-465-3225
Mailing Address - Fax:772-465-7687
Practice Address - Street 1:4995 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34982-7079
Practice Address - Country:US
Practice Address - Phone:772-465-3225
Practice Address - Fax:772-465-3225
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0052169207R00000X
FLME52169207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL042231200Medicaid
FL110101071OtherRAILROAD MEDICARE
FL110101071OtherRAILROAD MEDICARE
FLC34837Medicare UPIN