Provider Demographics
NPI:1730696196
Name:ROBIN C ZARATE MD PA
Entity type:Organization
Organization Name:ROBIN C ZARATE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZARATE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-325-3741
Mailing Address - Street 1:36468 EMERALD COAST PKWY STE 11001
Mailing Address - Street 2:
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-4799
Mailing Address - Country:US
Mailing Address - Phone:850-460-1948
Mailing Address - Fax:
Practice Address - Street 1:36468 EMERALD COAST PKWY STE 1101
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-3723
Practice Address - Country:US
Practice Address - Phone:850-460-1948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME17204261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center