Healthcare Provider Details

I. General information

NPI: 1316471469
Provider Name (Legal Business Name): HENRY ALFREDO ZAPATA GALARZA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2017
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

653-1 W 8TH ST # L16
JACKSONVILLE FL
32209-6511
US

IV. Provider business mailing address

PO BOX 44008
JACKSONVILLE FL
32231-4008
US

V. Phone/Fax

Practice location:
  • Phone: 904-244-3050
  • Fax:
Mailing address:
  • Phone: 904-244-3050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberME160632
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: