Organization Active NPI

Robin C Zarate MD PA

  • Clinic/Center
  • Destin, FL
National Provider Identifier
1730696196
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME17204 Issued in FL
Legal business name
ROBIN C ZARATE MD PA
Practice address
36468 Emerald Coast Pkwy Ste 1101
Destin, FL 32541-3723
Phone
(850) 460-1948
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Dr. Robin C Zarate, MD
Title
Owner
Phone
(407) 325-3741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME17204 FL Primary

Addresses

Primary practice location

36468 Emerald Coast Pkwy Ste 1101
Destin, FL 32541-3723

Mailing address

36468 Emerald Coast Pkwy Ste 11001
Destin, FL 32541-4799
Phone (850) 460-1948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180508001285 FL Part B Supplier - Clinic/Group Practice 6406110022 Receives reassigned benefits from 1 practitioner
Practice locations: Niceville, FL

National Provider Directory

National Provider Directory

Locations

36468 Emerald Coast Pkwy
Ste 11001
Destin, FL 32541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1730696196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36468 EMERALD COAST PKWY STE 11001",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325414799",
            "telephone_number": "850-460-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36468 EMERALD COAST PKWY STE 1101",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413723",
            "telephone_number": "850-460-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN C ZARATE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "ZARATE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-325-3741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME17204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.