Pravinchandra Zala Md Pa | |
500 Vonderburg Dr Ste 314 West Brandon FL 33511-5964 | |
(813) 651-3547 | |
(813) 651-3971 |
Full Name | Pravinchandra Zala Md Pa |
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Speciality | Psychiatry & Neurology |
Location | 500 Vonderburg Dr, Brandon, Florida |
Authorized Official Name and Position | Melissa Mcdonald (BILLING REP) |
Authorized Official Contact | 8136513547 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pravinchandra Zala Md Pa 321 E Robertson St Brandon FL 33511-5253 Ph: (813) 651-3547 | Pravinchandra Zala Md Pa 500 Vonderburg Dr Ste 314 West Brandon FL 33511-5964 Ph: (813) 651-3547 |
NPI Number | 1861792889 |
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Provider Enumeration Date | 10/25/2010 |
Last Update Date | 10/25/2010 |
Medicare PECOS PAC ID | 9234323767 |
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Medicare Enrollment ID | O20101028001406 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861792889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | ME0062100 (Florida) | Primary |
Provider Name | Pravinchandra Zala |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1497717797 PECOS PAC ID: 7416141957 Enrollment ID: I20101028001419 |
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