Doctor Name: | ANTHONY A ZEMBRZUSKI |
NPI Number: | 1558355545 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA C |
License Number: | PA3083 |
Business Practice Address: | 1508 Emerald Isle Pt Apopka, FL - 327036748 |
Business Phone Number: | 4073948971 |
Business Fax Number: | 3212562353 |
Mailing Address: | 710 Hospital Dr, CRESTVIEW |
State: | FL |
Postal Code: | 325397380 |
Phone Number: | 8503988480 |
Fax Number: | 8503988482 |
NPI Enumeration Date: | 09/06/2005 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA3083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |