Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME85222 | FL |
NPI | 1033143151 |
---|---|
Provider Name | Mrs. Diane D Zhao |
First Address | Tampa, FL 33613-5424 |
Second Address | Tampa, FL 33613-5424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 20/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033143151 | NPI (01) | FL |
17070Y | MEDICARE ID (01) | FL |