Provider Demographics
NPI:1043500523
Name:ZAPATA, CESAR (LMT)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4384 NW 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-4206
Mailing Address - Country:US
Mailing Address - Phone:954-486-1377
Mailing Address - Fax:954-486-1374
Practice Address - Street 1:4384 NW 31ST AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-4206
Practice Address - Country:US
Practice Address - Phone:954-486-1377
Practice Address - Fax:954-486-1374
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA61909225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist