MRS. ZOE JAMILA GONZALES-RABATHALY (NPI# 1326370271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326370271 |
| Entity Type | Individual |
| Full Name | MRS. ZOE JAMILA GONZALES-RABATHALY |
| Other Name | ZOE JAMILA MARTIN |
| Credential | PA-C |
| Practice Address |
2801 17th St Unit 202 Saint Cloud FL 34769-4939 |
| Practice Telephone | 4079061328 |
| Practice Fax Number | 8664258143 |
| Mailing Telephone | 4079061328 |
| Mailing Fax Number | 8664258143 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9106071 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 007337700 | 05 |
| Street Address |
2801 17TH ST UNIT 202 |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205074002 | Jason Jeong Hwan Song | Physical Medicine & Rehabilitation | 2801 17th St Unit 202, Saint Cloud, FL 34769-4939 | 2009-02-02 |
| 1336682764 | Palm Tree Interventional Pain Management, Pllc | Physical Medicine & Rehabilitation | 2801 17th St Unit 202, Saint Cloud, FL 34769-4939 | 2016-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194272401 | James E Bradley II | Physician Assistant | 4944 Oakway Dr, Saint Cloud, FL 34771-7974 | 2016-09-02 |
| 1154967156 | Blake Hunter Cedarleaf | Physician Assistant | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2019-11-25 |
| 1356835433 | Taylor Ann Ellis | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2018-06-21 |
| 1437672482 | Lee Ann Misstishin | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2017-07-21 |
| 1447795380 | Yen Gia Nguyen | Physician Assistant | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2017-01-02 |
| 1356895817 | Steven Lindblom | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2016-08-12 |
| 1831580356 | Alan Voegele | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2015-02-05 |
| 1902151228 | Julian Richard Luetmer | Physician Assistant | 1200 6th Ave N, Centra Care Clinic, Saint Cloud, MN 56303-2735 | 2012-07-24 |
| 1710294855 | Abdelkader Ryan Nachit | Physician Assistant | 2906 17th St, Saint Cloud, FL 34769-6006 | 2010-09-10 |
| 1770509663 | Jeffrey Scott Trimble | Physician Assistant | 1200 6th Ave N, Centra Care Clinic, Saint Cloud, MN 56303-2735 | 2006-07-14 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
Please comment or provide details below to improve the information on MRS. ZOE JAMILA GONZALES-RABATHALY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.