Healthcare Provider Details

I. General information

NPI: 1205140910
Provider Name (Legal Business Name): CAROLYN ZAUMEYER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 03/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4540 N FEDERAL HWY
FT LAUDERDALE FL
33308-5204
US

IV. Provider business mailing address

4540 N FEDERAL HWY
FT LAUDERDALE FL
33308-5204
US

V. Phone/Fax

Practice location:
  • Phone: 954-791-4498
  • Fax: 954-337-3350
Mailing address:
  • Phone: 954-791-4475
  • Fax: 954-337-3350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2125772
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: