Provider Demographics
NPI:1861155715
Name:ORBEGOZO, ZDENKA
Entity type:Individual
Prefix:
First Name:ZDENKA
Middle Name:
Last Name:ORBEGOZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7615 LAKE CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-1804
Mailing Address - Country:US
Mailing Address - Phone:708-945-4767
Mailing Address - Fax:
Practice Address - Street 1:3641 W KENNEDY BLVD STE C
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2849
Practice Address - Country:US
Practice Address - Phone:813-825-4072
Practice Address - Fax:844-724-7246
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11015973363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty