Healthcare Provider Details

I. General information

NPI: 1659929016
Provider Name (Legal Business Name): DHAVAL ZAVERI R. PH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2019
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 FLAT BRANCH CT
VALRICO FL
33594-4079
US

IV. Provider business mailing address

1810 FLAT BRANCH CT
VALRICO FL
33594-4079
US

V. Phone/Fax

Practice location:
  • Phone: 813-486-1254
  • Fax:
Mailing address:
  • Phone: 813-486-1254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS36351
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: