Healthcare Provider Details

I. General information

NPI: 1164107447
Provider Name (Legal Business Name): CHRISTOPHER JOHN ZAPATIER I
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11811 NW 31ST STREET N/A
SUNRISE FL
33323
US

IV. Provider business mailing address

11811 NW 31ST STREET N/A
SUNRISE FL
33323
US

V. Phone/Fax

Practice location:
  • Phone: 323-428-3735
  • Fax:
Mailing address:
  • Phone: 323-428-3735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: