Provider Demographics
NPI:1518953348
Name:ZYLMAN, PATRICIA M (MD)
Entity Type:Individual
Prefix:PROF
First Name:PATRICIA
Middle Name:M
Last Name:ZYLMAN
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 1:1674 W HIBISCUS BLVD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-2631
Mailing Address - Country:US
Mailing Address - Phone:321-473-4647
Mailing Address - Fax:321-821-4917
Practice Address - Street 1:1674 W HIBISCUS BLVD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-2631
Practice Address - Country:US
Practice Address - Phone:321-473-4647
Practice Address - Fax:321-821-4917
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL66236207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL25166OtherBLUE CROSS BLUE SHIELD
FL0381797OtherACOG
FL66236OtherME
FL375843500Medicaid
FL375843500Medicaid
FL66236OtherME