Healthcare Provider Details

I. General information

NPI: 1518210830
Provider Name (Legal Business Name): ZOYA BOSSEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2012
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13008 TELECOM DR
TEMPLE TERRACE FL
33637-0948
US

IV. Provider business mailing address

2457 STAPLEFORD PL
WESLEY CHAPEL FL
33543-7652
US

V. Phone/Fax

Practice location:
  • Phone: 813-405-4338
  • Fax:
Mailing address:
  • Phone: 215-847-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11012025
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: