Individual
DAVID J ZAGORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
Mailing address
PO BOX 198441, ATLANTA, GA 30384-9441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
67-000060
OH
367H00000X
Anesthesiologist Assistant
Primary
AA-958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000232340
UNISON
OH
01
—
000000515983
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
2750509
—
OH
01
—
415057
WELLCARE MEDICAID
OH
01
—
430059811
RAILROAD MEDICARE
OH
01
—
7367918
AETNA
OH
Enumeration date
07/23/2006
Last updated
12/30/2024
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