Provider Demographics
NPI:1407992597
Name:ZITO, SUSAN (DO)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:ZITO
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 1:13425 BELCHER RD S
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-4009
Mailing Address - Country:US
Mailing Address - Phone:727-223-9610
Mailing Address - Fax:727-303-3193
Practice Address - Street 1:13425 BELCHER RD S
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771
Practice Address - Country:US
Practice Address - Phone:727-223-9610
Practice Address - Fax:727-303-3193
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9016207RR0500X
FLOS9016207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL93589OtherBCBS
FL1046304OtherFIRST HEALTH AND COVENTRY NATIONAL NETWORK
FL281284300Medicaid
FL2895843OtherUNITED HEALTHCARE COMMERCIAL AND MEDICARE PLANS
CPD ID: 1046304OtherMAIL HANDLERS BENEFIT PLAN (MHBP)
FL702883OtherFLORIDA WELLCARE (MEDICARE PLAN)
FL311020OtherAVMED
591273247OtherUHC EMPIRE PLAN
FL93589OtherBLUE OPTIONS, BLUE CHOICE, FEDERAL, FLORIDA STATE AND TRADITIONAL BCBS
FL9016OtherSTATE LICENSE
FL93589OtherBCBS BLUE CARE, ADVANTAGE 65 SELECT, MEDICARE PPO/HMO, GO BLUE
FL7118568OtherCIGNA PPO/HMO, OPEN ACCESS AND GREATWEST
FL281284300Medicaid