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Individual

DR. SHURUN ZHAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4431 WALTHAM DR, TAMPA, FL 33634-7345
(813) 598-2893
Mailing address
4431 WALTHAM DR, TAMPA, FL 33634-7345
(813) 598-2893

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
ME99158
FL
207ZH0000X
Hematology (Pathology) Physician
25MA0816-8000
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA0816-8000
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME99158
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280544800
FL
Enumeration date
02/07/2007
Last updated
02/17/2011
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