Individual
DR. THERESA ZESIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC 55, TAMPA, FL 33612-4742
(813) 974-5909
(813) 974-8032
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME64808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27176
BLUE CROSS BLUE SHIELD
FL
05
—
378463100
—
FL
Enumeration date
07/26/2006
Last updated
03/29/2021
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