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Edelio Valentin De Zayas

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as EDELIO DE ZAYAS.

Based on the most recent information from CMS, provider Edelio Valentin De Zayas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1134747470
Provider Type
Individual
Full Name
De Zayas, Edelio Valentin
Gender
Male

Sole Proprietor
No
Enumeration Date
7/13/2020
Last Updated
7/13/2020

Contact Information

Practice Location

7763 Segovia St, Orlando, FL 32822-8036

(407) 952-6686

Unlisted Fax

Mailing Location

7763 Segovia St, Orlando, FL 32822-8036

(407) 952-6686

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11008063 Florida

Edelio Valentin De Zayas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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