=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972748754
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LUZ MARINA ZAPATA AP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/09/2008
-----------------------------------------------------
Last Update Date | 12/09/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 615 UNITED ST
-----------------------------------------------------
City | KEY WEST
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33040-3229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-766-0443
-----------------------------------------------------
Fax | 305-294-8951
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 615A UNITED ST.
-----------------------------------------------------
City | KEY WEST
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33040
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-766-0443
-----------------------------------------------------
Fax | 305-294-8951
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AP1938
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------