Healthcare Provider Details

I. General information

NPI: 1457335440
Provider Name (Legal Business Name): ALEXANDR ZOUEV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 W DR MLK BLVD STE 640
TAMPA FL
33607-6399
US

IV. Provider business mailing address

2995 DREW ST FL 2
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 866-762-1743
  • Fax: 727-816-1222
Mailing address:
  • Phone: 866-762-1743
  • Fax: 727-816-1222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number200401685
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME130144
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: