Healthcare Provider Details

I. General information

NPI: 1548683667
Provider Name (Legal Business Name): MICHAEL ZURI D.P.M
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2014
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 N HABANA AVE STE 400
TAMPA FL
33614-7119
US

IV. Provider business mailing address

15815 SHADDOCK DR STE 130
WINTER GARDEN FL
34787-5773
US

V. Phone/Fax

Practice location:
  • Phone: 813-499-0774
  • Fax:
Mailing address:
  • Phone: 813-400-1140
  • Fax: 813-701-9132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberPO3697
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO3697
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: