Provider Demographics
NPI:1467217497
Name:DR RITA ZEIDAN, LLC
Entity Type:Organization
Organization Name:DR RITA ZEIDAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEIDAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-442-5762
Mailing Address - Street 1:30106 STAGE COACH CIR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-4187
Mailing Address - Country:US
Mailing Address - Phone:352-442-5762
Mailing Address - Fax:
Practice Address - Street 1:22303 DUPONT BLVD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2153
Practice Address - Country:US
Practice Address - Phone:302-440-4866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty