Healthcare Provider Details

I. General information

NPI: 1487813036
Provider Name (Legal Business Name): DAVID ZIRH MD MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2008
Last Update Date: 02/21/2021
Certification Date: 02/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2985 DREW ST
CLEARWATER FL
33759-3012
US

IV. Provider business mailing address

5814 WYOMING AVE
NEW PORT RICHEY FL
34652-2857
US

V. Phone/Fax

Practice location:
  • Phone: 305-697-8875
  • Fax:
Mailing address:
  • Phone: 305-697-8875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA08841000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number25MA08841000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: