Healthcare Provider Details

I. General information

NPI: 1467127464
Provider Name (Legal Business Name): KAREN ALEJANDRA ZAPATA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2021
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 SW 143RD AVE
PEMBROKE PINES FL
33027-6158
US

IV. Provider business mailing address

1005 SW 143RD AVE
PEMBROKE PINES FL
33027-6158
US

V. Phone/Fax

Practice location:
  • Phone: 407-600-7167
  • Fax:
Mailing address:
  • Phone: 407-600-7167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN28463
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: