Healthcare Provider Details

I. General information

NPI: 1104447838
Provider Name (Legal Business Name): CHRISTIAN JAVIER ZAPATEIRO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2020
Last Update Date: 05/05/2020
Certification Date: 05/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 SLIGH BLVD
ORLANDO FL
32806-3954
US

IV. Provider business mailing address

14854 BRAYWOOD TRL
ORLANDO FL
32824-4214
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-5598
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN9444571
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: