Healthcare Provider Details

I. General information

NPI: 1326935784
Provider Name (Legal Business Name): AMBAR ZAPATA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 UNDERWOOD ST
ORLANDO FL
32806-1110
US

IV. Provider business mailing address

3848 SW 137TH PL
OCALA FL
34473-2193
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-5210
  • Fax:
Mailing address:
  • Phone: 352-653-5717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number10618
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: