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NPI Code Detail

MEDICARE: MR. ANGELO JOSEPH ZAPPALA DO

MEDICARE: MR. ANGELO JOSEPH ZAPPALA DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianOS6134FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115838OTHERFLBCBS

General Provider Information

NPI Number : 1033107081
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANGELO JOSEPH ZAPPALA DO
Provider Business Mailing Address
First Line : 3501 HEALTH CENTER BLVD
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34135-8127
Country : US
Telephone Number : 239-949-1050
Fax Number : 239-949-6111
Provider Business Practice Location Address
First Line : 3501 HEALTH CENTER BLVD
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34135-8127
Country : US
Telephone Number : 239-949-1050
Fax Number : 239-949-6111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 07/09/2007

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