Provider Demographics
NPI:1104413038
Name:ZAPATA, GIOVANNY (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:GIOVANNY
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24153 SW 107TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5168
Mailing Address - Country:US
Mailing Address - Phone:786-200-0037
Mailing Address - Fax:
Practice Address - Street 1:24153 SW 107TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-5168
Practice Address - Country:US
Practice Address - Phone:786-200-0037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11010546363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner