Zoe Jamila Gonzales-Rabathaly, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9106071 Issued in FL

Practice address

2800 S Osceola Ave
Orlando, FL 32806-5419

Phone

(800) 735-1178

Fax

(772) 223-6354

NPI assigned

Feb 3, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Zoe Jamila Martin Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: zmartin@direct.wtbyhosp.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palm Tree Interventional Pain Management, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Saint Cloud, FL
  • NPI 1336682764
  Medicare reassignment
• Total Spine & Wellness

  • Clinic/Center
  • Melbourne, FL
  • NPI 1851907828
  Medicare reassignment
• Cardiac Clinic of Sunil M. Kakkar, M.D, P.a

  • Interventional Cardiology Physician
  • Kissimmee, FL
  • NPI 1457319329
  NPD (past)
• The Next Step Counseling Center, LLC

  • Mental Health Counselor
  • Saint Cloud, FL
  • NPI 1932440393
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1326370271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573600",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S OSCEOLA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065419",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES-RABATHALY",
        "first_name": "ZOE",
        "middle_name": "JAMILA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106071",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007337700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZOE",
            "last_name": "MARTIN",
            "middle_name": "JAMILA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriela Gonera, MD
• Susana Lisnet Gongora
• Shaun Andrea Gonsalves, RBT
• Vivekananda Gonugunta, MD.,
• Fernando Gonzales-Portillo, MD
• Gabriel L Gonzales, DPT
• Jennifer Zabel Gonzales, OTR/L
• Jessica Gonzales
• Leah Gonzales
• Patrick P Gonzales, MD

• Surgical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.