Individual ProviderDonald ZellerPathologyAllopathic & Osteopathic PhysiciansPractice Address3355 Burns Rd, Suite 105, Palm Beach Gardens, FL 33410-4353(561) 775-7968(239) 931-7342PECOS EnrollmentBased on the most recent information from CMS, provider Donald Zeller is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1154360733Provider TypeIndividualFull NameZeller, DonaldCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/6/2006Last Updated1/4/2017Contact InformationPractice LocationPractice Address3355 Burns Rd, Suite 105, Palm Beach Gardens, FL 33410-4353Phone(561) 775-7968Fax(561) 775-7649Mailing LocationMailing Address2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept., Fort Myers, FL 33907-1412Phone(239) 931-7342Fax(239) 931-7385Provider TaxonomiesCodeDescriptionLicenseCode207ZP0102XPrimaryDescriptionPathologyAllopathic & Osteopathic PhysiciansLicenseME 21581FloridaProvider IdentifiersIDDescriptionIssuerID349094DescriptionOtherIssuerAVMEDFloridaID93333DescriptionOtherIssuerBCBSFloridaID4209794DescriptionOtherIssuerAETNAFloridaID8337827DescriptionOtherIssuerCIGNAFloridaIDP01572616DescriptionOtherIssuerRR MEDICAREFloridaID039059300DescriptionMedicaidIssuerUnlistedFlorida