Ivona Dzurillova

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

9419507 Issued in FL

Practice address

2750 Southshore Ave
Tampa, FL 33621-5022

Phone

(813) 828-2570

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ivonne M Sandoval Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1194458315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 6TH ST",
            "city": "BELLEAIR BEACH",
            "state": "FL",
            "postal_code": "337863216",
            "telephone_number": "908-603-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SOUTHSHORE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336215022",
            "telephone_number": "813-828-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZURILLOVA",
        "first_name": "IVONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "9419507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVONNE",
            "last_name": "SANDOVAL",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Critical Care Medicine Registered Nurse in Tampa, FL
• Providers in Tampa, FL by specialty
• Critical Care Medicine Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.