Provider Demographics
NPI:1073571188
Name:ZAKKAY, YVONNE (MD)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:
Last Name:ZAKKAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:J
Other - Last Name:ZAKKAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PA
Mailing Address - Street 1:2727 W DR MLK BLVD
Mailing Address - Street 2:STE 630
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6383
Mailing Address - Country:US
Mailing Address - Phone:813-876-6000
Mailing Address - Fax:813-876-0590
Practice Address - Street 1:2727 W DR MLK BLVD
Practice Address - Street 2:STE 630
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6383
Practice Address - Country:US
Practice Address - Phone:813-876-6000
Practice Address - Fax:813-876-0590
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0046633207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02692BMedicare ID - Type Unspecified
D84639Medicare UPIN