Healthcare Provider Details

I. General information

NPI: 1245981935
Provider Name (Legal Business Name): ROBERT ZAGORSKY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2022
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23106 US HIGHWAY 19 N
CLEARWATER FL
33765-1849
US

IV. Provider business mailing address

2408 LINSEY ST
TAMPA FL
33605-6551
US

V. Phone/Fax

Practice location:
  • Phone: 727-724-3403
  • Fax: 727-791-6363
Mailing address:
  • Phone: 941-504-2681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS62224
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: