| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ATHANASIOS TZARAS | 1154818771 | 2023-05-06 |
Athanasios Tzaras is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1154818771. Registration indicates Athanasios Tzaras is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation) (Physical Medicine & Rehabilitation: Pain Medicine, ) (Specialist Network, ) (Physical Medicine & Rehabilitation Pain Medicine, Allopathic & Osteopathic Physicians) (Physical Medicine & Rehabilitation, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Athanasios Tzaras M.D. |
| Practice Office Address | 1417 LAKELAND HILLS BLVD STE 201 LAKELAND, FL US |
| Practice Office Telephone | 8137015804 |
| Mailing Address | 1417 LAKELAND HILLS BLVD STE 201 LAKELAND, FL 338053208 US |
| Business Telephone | 8137015804 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 2081P2900X PRIMARY | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation: Pain Medicine Specialist Network Physical Medicine & Rehabilitation Pain Medicine Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | ME160882
FL |