Provider Demographics
NPI:1427385962
Name:ROBERT G ZEITLER MD PA
Entity Type:Organization
Organization Name:ROBERT G ZEITLER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:ZEITLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-784-1205
Mailing Address - Street 1:35246 US HIGHWAY 19 N # 258
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1931
Mailing Address - Country:US
Mailing Address - Phone:727-784-1205
Mailing Address - Fax:727-773-2225
Practice Address - Street 1:180 PATRICIA AVE
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-8103
Practice Address - Country:US
Practice Address - Phone:727-784-1205
Practice Address - Fax:727-773-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty