MEDICARE: GLORIA I. ZAPATA PEDIATRIC THERAPY CENTER, INC.

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
1	174400000X	Specialist	PT12434	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326221086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLORIA I. ZAPATA PEDIATRIC THERAPY CENTER, INC.

Provider Business Mailing Address
First Line	:	246 MARINER BOULEVARD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609
Country	:	US
Telephone Number	:	352-683-9232
Fax Number	:	352-683-9232

Provider Business Practice Location Address
First Line	:	246 MARINER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5691
Country	:	US
Telephone Number	:	352-683-9232
Fax Number	:	352-683-9232

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. GLORIA I ZAPATA
Credential	:	RPT
Telephone Number	:	352-683-2120

Provider Enumeration Date	:	12/17/2007
Last Update Date	:	06/19/2008

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