Healthcare Provider Details

I. General information

NPI: 1235651654
Provider Name (Legal Business Name): CARLOS RODRIGUEZ ZARZABAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2416 LAND O LAKES BLVD
LAND O LAKES FL
34639-4907
US

IV. Provider business mailing address

12308 SEABROOK DR
TAMPA FL
33626-2429
US

V. Phone/Fax

Practice location:
  • Phone: 813-280-4909
  • Fax: 813-949-1103
Mailing address:
  • Phone: 305-250-8442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME181605
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: