Provider Demographics
NPI:1174561666
Name:ZITO, AMALINNETTE RODRIGUEZ (MD)
Entity type:Individual
Prefix:
First Name:AMALINNETTE
Middle Name:RODRIGUEZ
Last Name:ZITO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMALINNETTE
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1150 45TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2361
Mailing Address - Country:US
Mailing Address - Phone:561-514-5300
Mailing Address - Fax:561-514-5538
Practice Address - Street 1:777 GLADES RD # SS 8W240
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6496
Practice Address - Country:US
Practice Address - Phone:561-297-3512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89711207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2730707-00Medicaid
FL16554ZMedicare ID - Type Unspecified