Provider Demographics
NPI:1578141248
Name:ZETA HEALTH INC.
Entity Type:Organization
Organization Name:ZETA HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEKELES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:727-371-4357
Mailing Address - Street 1:740 4TH ST N STE 352
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-2322
Mailing Address - Country:US
Mailing Address - Phone:727-371-4357
Mailing Address - Fax:727-279-3456
Practice Address - Street 1:475 CENTRAL AVE STE 300B
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3859
Practice Address - Country:US
Practice Address - Phone:727-371-4357
Practice Address - Fax:727-279-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty