Healthcare Provider Details

I. General information

NPI: 1386746691
Provider Name (Legal Business Name): ARMAND EUGENE ZILIOLI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 BAY PINES BLVD
ST. PETERSBURG FL
33744
US

IV. Provider business mailing address

11628 HARBORSIDE CIR
LARGO FL
33773-4439
US

V. Phone/Fax

Practice location:
  • Phone: 727-398-6661
  • Fax:
Mailing address:
  • Phone: 727-398-5098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME20446
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: