Individual
COURTNEY ZAKSHEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2727 W DR MARTIN LUTHER KING JR BLVD STE 200, TAMPA, FL 33607-6003
(813) 694-5824
Mailing address
637 JETSTAR LN, OLDSMAR, FL 34677-5236
(727) 254-9187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109139
FL
Other
Enumeration date
07/09/2018
Last updated
06/11/2020
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