Healthcare Provider Details

I. General information

NPI: 1548259047
Provider Name (Legal Business Name): TAMPA ARTHRITIS CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 07/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 S HABANA AVE STE 120
TAMPA FL
33609-4181
US

IV. Provider business mailing address

508 S HABANA AVE STE 120
TAMPA FL
33609-4181
US

V. Phone/Fax

Practice location:
  • Phone: 813-998-9040
  • Fax: 813-998-9860
Mailing address:
  • Phone: 813-998-9040
  • Fax: 813-998-9860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: SEYED ALIREZA ZARABADI
Title or Position: PHYSICIAN OWNER
Credential: DO
Phone: 813-998-9040