Healthcare Provider Details

I. General information

NPI: 1972748754
Provider Name (Legal Business Name): LUZ MARINA ZAPATA AP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2008
Last Update Date: 12/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 UNITED ST
KEY WEST FL
33040-3229
US

IV. Provider business mailing address

615A UNITED ST.
KEY WEST FL
33040
US

V. Phone/Fax

Practice location:
  • Phone: 305-766-0443
  • Fax: 305-294-8951
Mailing address:
  • Phone: 305-766-0443
  • Fax: 305-294-8951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1938
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: