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NPI Code Detail

MEDICARE: YULIANA ZAPATA

MEDICARE:   YULIANA  ZAPATA
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
11041C0700XClinical Social WorkerSW15731FL

General Provider Information

NPI Number : 1902360837
Entity Type Code : Individual
Provider Name (Legal Business Name) : YULIANA ZAPATA
Provider Business Mailing Address
First Line : 201 HEALTH PARK BLVD STE 212
Second Line :
City : ST AUGUSTINE
State : FL
Zip : 32086-5797
Country : US
Telephone Number : 904-819-4040
Fax Number : 904-819-4041
Provider Business Practice Location Address
First Line : 201 HEALTH PARK BLVD STE 212
Second Line :
City : ST AUGUSTINE
State : FL
Zip : 32086-5797
Country : US
Telephone Number : 904-819-4040
Fax Number : 904-819-4041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2019
Last Update Date : 11/01/2019

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Directions to “ YULIANA ZAPATA ” Practice Location

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