MEDICARE: ALYSSA RUTH ZWARYCH MD

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
1	208000000X	Pediatrics Physician	ME96229	FL
2	207R00000X	Internal Medicine Physician	ME96229	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740206366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA RUTH ZWARYCH MD

Provider Business Mailing Address
First Line	:	38135 MARKET SQUARE DR
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-7505
Country	:	US
Telephone Number	:	352-567-0188
Fax Number	:

Provider Business Practice Location Address
First Line	:	2352 BRUCE B DOWNS BLVD STE 301
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-9203
Country	:	US
Telephone Number	:	813-528-4898
Fax Number	:	813-377-1004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	06/08/2022

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