Provider Demographics
NPI:1518285139
Name:ZELAYA-ARAGON, SHEYLA
Entity Type:Individual
Prefix:
First Name:SHEYLA
Middle Name:
Last Name:ZELAYA-ARAGON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33049 PROFESSIONAL DR STE 103
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-3705
Mailing Address - Country:US
Mailing Address - Phone:352-353-6967
Mailing Address - Fax:855-642-1936
Practice Address - Street 1:33049 PROFESSIONAL DR STE 103
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3705
Practice Address - Country:US
Practice Address - Phone:352-353-6967
Practice Address - Fax:855-642-1936
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME124100207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015660000Medicaid