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NPI Code Detail

MEDICARE: EYAL ALBERT TZEEL M.D.

MEDICARE: EYAL ALBERT TZEEL M.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
1208000000XPediatrics Physician0119137FL
2208000000XPediatrics Physician4301407222MI
3208000000XPediatrics Physician40918-20WI

General Provider Information

NPI Number : 1629116041
Entity Type Code : Individual
Provider Name (Legal Business Name) : EYAL ALBERT TZEEL M.D.
Provider Business Mailing Address
First Line : 15319 WIND WHISPER DR
Second Line :
City : ODESSA
State : FL
Zip : 33556-1794
Country : US
Telephone Number : 262-825-8294
Fax Number : 920-632-1401
Provider Business Practice Location Address
First Line : 4030 W BOY SCOUT BLVD FL 10
Second Line :
City : TAMPA
State : FL
Zip : 33607-5713
Country : US
Telephone Number : 262-825-8294
Fax Number : 920-632-1401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 10/09/2020

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