Healthcare Provider Details

I. General information

NPI: 1851529119
Provider Name (Legal Business Name): RAMZI ZUREIKAT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8702 HUNTERS LAKE DR STE 100
TAMPA FL
33647-2855
US

IV. Provider business mailing address

8702 HUNTERS LAKE DR STE 100
TAMPA FL
33647-2855
US

V. Phone/Fax

Practice location:
  • Phone: 813-467-4700
  • Fax: 813-467-4261
Mailing address:
  • Phone: 813-467-4700
  • Fax: 813-467-4261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036129265
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036129265
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME150282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: