Individual
DR. EGBERTO JOSE ZAYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 MEDICAL PARK DR STE 25, TAMPA, FL 33613-4680
(813) 632-6220
(813) 971-5893
Mailing address
PO BOX 102222, CREDENTIAL DEPARTMENT, ATLANTA, GA 30368-2222
(239) 432-8339
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME65260
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME65260
FL
207RX0202X
Medical Oncology Physician
Primary
ME65260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374050100
—
FL
01
—
ME0065260
FLORIDA LICENSE
FL
Enumeration date
07/28/2006
Last updated
09/02/2022
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