MEDICARE: DR. ANTONINO GIOVANNI ZAMPOGNA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME34229	FL

General Provider Information

NPI Number	:	1144247065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONINO GIOVANNI ZAMPOGNA M.D.

Provider Business Mailing Address
First Line	:	1350 TAMIAMI TRL N STE 205
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5203
Country	:	US
Telephone Number	:	239-263-1910
Fax Number	:	239-263-5424

Provider Business Practice Location Address
First Line	:	1350 TAMIAMI TRL N STE 205
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5203
Country	:	US
Telephone Number	:	239-263-1910
Fax Number	:	239-263-5424

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	03/03/2022

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