Provider Demographics
NPI:1396264156
Name:ZAMBITO, ANTHONY FRANK (PA-C)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:FRANK
Last Name:ZAMBITO
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:12501 DEERBERRY LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-2337
Mailing Address - Country:US
Mailing Address - Phone:813-220-1205
Mailing Address - Fax:
Practice Address - Street 1:300 PINELLAS ST # MS -36
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3804
Practice Address - Country:US
Practice Address - Phone:727-298-6612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant