Healthcare Provider Details

I. General information

NPI: 1134638935
Provider Name (Legal Business Name): ALESSANDRA ZAPATA MSN, AGPCNP, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2017
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 SW 145TH AVE STE 101
MIRAMAR FL
33027-4238
US

IV. Provider business mailing address

2750 SW 145TH AVE STE 101
MIRAMAR FL
33027-4238
US

V. Phone/Fax

Practice location:
  • Phone: 954-408-2250
  • Fax: 954-405-8813
Mailing address:
  • Phone: 954-774-4100
  • Fax: 954-405-8813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9417942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: