Provider Demographics
NPI:1992861934
Name:ZEMZARS, TAMATHA FRIZZELL (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMATHA
Middle Name:FRIZZELL
Last Name:ZEMZARS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:TAMATHA
Other - Middle Name:
Other - Last Name:FRIZZELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4711 34TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-3061
Mailing Address - Country:US
Mailing Address - Phone:727-344-7602
Mailing Address - Fax:208-765-6075
Practice Address - Street 1:4711 34TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33714-3061
Practice Address - Country:US
Practice Address - Phone:727-344-7602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL158214208000000X
IDM13514208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics