MEDICARE: DR. CAROLE ZANGARI PH.D., CCC-SLP

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	235Z00000X	Speech-Language Pathologist	SA3251	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SA3251	OTHER	FL	STATE LICENSURE

General Provider Information

NPI Number	:	1427167071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLE ZANGARI PH.D., CCC-SLP

Provider Business Mailing Address
First Line	:	6399 NW 47TH CT
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2146
Country	:	US
Telephone Number	:	954-262-7706
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 COLLEGE AVE
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33314-7721
Country	:	US
Telephone Number	:	954-262-7706
Fax Number	:

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. CAROLE ZANGARI PH.D., CCC-SLP” Practice Location

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