Individual
JOSE T ZAGLUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4259
(941) 782-4101
Mailing address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4259
(941) 782-4101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME60726
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME60726
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373613000
—
FL
Enumeration date
09/20/2005
Last updated
01/29/2018
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