Individual
DEZBAH A ZEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6186
Mailing address
19649 LONG LAKE RANCH BLVD, LUTZ, FL 33558-5494
(813) 957-1654
(813) 333-7445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005978000
—
FL
05
—
1234
—
FL
01
—
Y02TC
BC/BS
FL
Enumeration date
05/15/2006
Last updated
08/12/2022
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