MEDICARE: MRS. YVONNE ZAKKAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME0046633	FL

General Provider Information

NPI Number	:	1073571188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YVONNE ZAKKAY MD

Provider Business Mailing Address
First Line	:	2727 W DR MLK BLVD
Second Line	:	STE 630
City	:	TAMPA
State	:	FL
Zip	:	33607-6383
Country	:	US
Telephone Number	:	813-876-6000
Fax Number	:	813-876-0590

Provider Business Practice Location Address
First Line	:	2727 W DR MLK BLVD
Second Line	:	STE 630
City	:	TAMPA
State	:	FL
Zip	:	33607-6383
Country	:	US
Telephone Number	:	813-876-6000
Fax Number	:	813-876-0590

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	09/29/2014

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