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Individual

JAMES R TZIVANIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPA

Contact information

Practice address
5915 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7565
(352) 794-3872
(352) 794-3876
Mailing address
5672 W JUSTIN CT, HOMOSASSA, FL 34448-1632
(352) 628-7026

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000469
NY
363A00000X
Physician Assistant
Primary
PA9104839
FL

Other

Enumeration date
08/22/2006
Last updated
05/10/2011
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