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Individual

JOSE LUIS ZABALA GENOVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
ME168727
FL
207R00000X
Internal Medicine Physician
125070129
IL
207RN0300X
Nephrology Physician
66862
MN

Other

Enumeration date
05/11/2017
Last updated
08/06/2024
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