Individual
BEVERLY DELIZ TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 782-3727
(813) 355-5051
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME107842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006507600
—
FL
Enumeration date
09/07/2007
Last updated
09/01/2021
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