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NPI Code Detail

MEDICARE: DR. ALEXIS RAQUEPAU ZUBROD PH. D.

MEDICARE:  DR. ALEXIS RAQUEPAU ZUBROD  PH. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY 6234FL

General Provider Information

NPI Number : 1477609394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXIS RAQUEPAU ZUBROD PH. D.
Provider Business Mailing Address
First Line : 3501 COQUINA KEY DR SE
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33705-4115
Country : US
Telephone Number : 727-481-8101
Fax Number :
Provider Business Practice Location Address
First Line : 926 16TH ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33705-1211
Country : US
Telephone Number : 727-238-2335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 04/27/2020

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Directions to “ DR. ALEXIS RAQUEPAU ZUBROD PH. D.” Practice Location

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