Healthcare Provider Details

I. General information

NPI: 1801852272
Provider Name (Legal Business Name): JAMES J RONZO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 AVION PARK DR
TAMPA FL
33607-1416
US

IV. Provider business mailing address

4211 W BOY SCOUT BLVD SUITE 400
TAMPA FL
33607-5724
US

V. Phone/Fax

Practice location:
  • Phone: 855-485-3262
  • Fax: 813-443-8255
Mailing address:
  • Phone: 855-485-3262
  • Fax: 813-443-8255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberOS8220
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberOS8220
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: