Organization Active NPI

Jorge I Zeledon MD PA

  • Nephrology Physician
  • Sebring, FL
National Provider Identifier
1962052449
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
JORGE I ZELEDON MD PA
Practice address
6801 N Highway 27 Ste C3
Sebring, FL 33870-1000
Phone
(863) 314-0880
Fax
(863) 837-4475
NPI assigned
Sep 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Mr. Jorge Ivan Zeledon, MD
Title
President
Phone
(863) 314-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

6801 N Highway 27 Ste C3
Sebring, FL 33870-1000

Mailing address

6801 N Highway 27 Ste C3
Sebring, FL 33870-1000
Phone (863) 314-0880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jizeledonmdpa@att.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4215 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 382-2248

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1962052449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 N HIGHWAY 27 STE C3",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701000",
            "telephone_number": "863-314-0880",
            "fax_number": "863-837-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 N HIGHWAY 27 STE C3",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701000",
            "telephone_number": "863-314-0880",
            "fax_number": "863-837-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE I ZELEDON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "ZELEDON",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-314-0880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jizeledonmdpa@att.net",
            "affiliation": "N",
            "endpointDescription": "e mail address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6801 N Highway 27 Ste C3",
            "city": "Sebring",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338701000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.