Healthcare Provider Details

I. General information

NPI: 1912239716
Provider Name (Legal Business Name): ZEBBY'S GENERAL SURGICAL SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2010
Last Update Date: 02/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13601 BRUCE B DOWNS BLVD SUITE 311
TAMPA FL
33613
US

IV. Provider business mailing address

13601 BRUCE B DOWNS BLVD SUITE 311
TAMPA FL
33613
US

V. Phone/Fax

Practice location:
  • Phone: 813-971-8070
  • Fax: 813-971-8074
Mailing address:
  • Phone: 813-971-8070
  • Fax: 813-971-8074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberME97075
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME97075
License Number StateFL

VIII. Authorized Official

Name: DR. BRIAN KING ZEBROWSKI
Title or Position: OWNER
Credential: M.D.
Phone: 813-971-8070