Healthcare Provider Details

I. General information

NPI: 1427630268
Provider Name (Legal Business Name): PABLO DAVID TZORIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4613 S ORANGE BLOSSOM TRL
ORLANDO FL
32839-1705
US

IV. Provider business mailing address

4613 S ORANGE BLOSSOM TRL
ORLANDO FL
32839-1705
US

V. Phone/Fax

Practice location:
  • Phone: 407-232-9833
  • Fax: 407-232-9829
Mailing address:
  • Phone: 407-232-9833
  • Fax: 407-232-9829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME175106
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: