Healthcare Provider Details

I. General information

NPI: 1912238999
Provider Name (Legal Business Name): PERLA ZAPATA AP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 01/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 ORANGE AVE STE 2
WINTER PARK FL
32789-4933
US

IV. Provider business mailing address

1355 ORANGE AVE STE 2
WINTER PARK FL
32789-4933
US

V. Phone/Fax

Practice location:
  • Phone: 321-279-8916
  • Fax:
Mailing address:
  • Phone: 321-279-8916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: