Healthcare Provider Details

I. General information

NPI: 1245648831
Provider Name (Legal Business Name): PEGGY ZAPANTIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2014
Last Update Date: 07/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9291 GLADES RD SUITE 301
BOCA RATON FL
33434-3959
US

IV. Provider business mailing address

9291 GLADES RD SUITE 306
BOCA RATON FL
33434-3959
US

V. Phone/Fax

Practice location:
  • Phone: 561-483-5500
  • Fax:
Mailing address:
  • Phone: 561-483-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9310499
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9310499
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberARNP9310499
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: