Healthcare Provider Details

I. General information

NPI: 1598733560
Provider Name (Legal Business Name): MICHAEL ZAPPA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13001 STATE ROAD 80
LOXAHATCHEE FL
33470-9203
US

IV. Provider business mailing address

PO BOX 863641
ORLANDO FL
32886-3641
US

V. Phone/Fax

Practice location:
  • Phone: 561-798-3300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME0055435
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2012-00243
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: