Healthcare Provider Details

I. General information

NPI: 1780937656
Provider Name (Legal Business Name): DOUGLAS ALAN ZINGARO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 10/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 S TAMIAMI TRL UINT 501
SARASOTA FL
34238-2966
US

IV. Provider business mailing address

8201 S TAMIAMI TRL UINT 501
SARASOTA FL
34238-2966
US

V. Phone/Fax

Practice location:
  • Phone: 941-554-2801
  • Fax: 941-554-2802
Mailing address:
  • Phone: 941-554-2801
  • Fax: 941-554-2802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS38157
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: