Healthcare Provider Details

I. General information

NPI: 1740289404
Provider Name (Legal Business Name): MARK ANDREW ZUZGA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 MEASE DR STE 319
SAFETY HARBOR FL
34695-6605
US

IV. Provider business mailing address

1840 MEASE DR STE 319
SAFETY HARBOR FL
34695-6605
US

V. Phone/Fax

Practice location:
  • Phone: 727-712-3233
  • Fax: 727-712-1853
Mailing address:
  • Phone: 727-712-3233
  • Fax: 727-712-1853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberOS9474
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: