Healthcare Provider Details

I. General information

NPI: 1417780073
Provider Name (Legal Business Name): FRANK ZAPATA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2024
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14044 SW 47TH TER
MIAMI FL
33175-4835
US

IV. Provider business mailing address

14044 SW 47TH TER
MIAMI FL
33175-4835
US

V. Phone/Fax

Practice location:
  • Phone: 305-215-7522
  • Fax:
Mailing address:
  • Phone: 305-215-7522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11031762
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: