Zisholtz Family Practice PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME94395 Issued in FL

Legal business name

ZISHOLTZ FAMILY PRACTICE PA

Practice address

1502 N Donnelly Street
Suite 106
Mt Dora, FL 32757

Phone

(352) 383-1324

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Todd C Zisholtz, MD

Title

Owner

Phone

(352) 638-1503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932130457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "city": "MT DORA",
            "state": "FL",
            "postal_code": "32756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N DONNELLY STREET",
            "address_2": "SUITE 106",
            "city": "MT DORA",
            "state": "FL",
            "postal_code": "32757",
            "telephone_number": "352-383-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZISHOLTZ FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZISHOLTZ",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-638-1503",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahanaji Zechna, LMT
• Moises Zelaya
• Tomislav Zeljko, M.D.
• Zenith Apothecary Inc
• John Zinicola, BCBA

• Family Medicine Physician in Mt Dora, FL
• Providers in Mt Dora, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.