Provider Demographics
NPI:1700188133
Name:ZORNOSA, CLAUDIA (MD)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:
Last Name:ZORNOSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12180 28TH ST N
Mailing Address - Street 2:SUITE 305
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1820
Mailing Address - Country:US
Mailing Address - Phone:727-540-9049
Mailing Address - Fax:727-573-2048
Practice Address - Street 1:12180 28TH ST N
Practice Address - Street 2:SUITE 305
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1820
Practice Address - Country:US
Practice Address - Phone:727-572-5449
Practice Address - Fax:727-573-2048
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-17
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME66347208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice