MEDICARE: DR. ZOLTAN BERECZKI JR. DO

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	207X00000X	Orthopaedic Surgery Physician	OS011940	PA
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	OS9841	FL

General Provider Information

NPI Number	:	1831199983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZOLTAN BERECZKI JR. DO

Provider Business Mailing Address
First Line	:	1672 SEA BREEZE DR
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-2028
Country	:	US
Telephone Number	:	727-353-3351
Fax Number	:	727-353-3354

Provider Business Practice Location Address
First Line	:	3001 N ROCKY POINT DR E
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5810
Country	:	US
Telephone Number	:	727-353-3351
Fax Number	:	727-353-3354

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

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	02/28/2022

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