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NPI Code Detail

MEDICARE: ANGELICA DANIELLE VANDER ZALM

MEDICARE: ANGELICA DANIELLE VANDER ZALM
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
1367500000XCertified Registered Nurse Anesthetist158720FL

General Provider Information

NPI Number : 1740117548
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA DANIELLE VANDER ZALM
Provider Business Mailing Address
First Line : 851 TRAFALGAR CT STE 200E
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7420
Country : US
Telephone Number : 888-339-8727
Fax Number :
Provider Business Practice Location Address
First Line : 400 CELEBRATION PL
Second Line :
City : KISSIMMEE
State : FL
Zip : 34747-4970
Country : US
Telephone Number : 407-303-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ ANGELICA DANIELLE VANDER ZALM ” Practice Location

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