PAMELA S ZAWACKI (NPI# 1801863600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801863600 |
Entity Type | Individual |
Full Name | PAMELA S ZAWACKI |
Credential | ARNP |
Practice Address |
3700 W Sovereign Path Lecanto FL 34461-8071 |
Practice Telephone | 3525270068 |
Practice Fax Number | 3525278858 |
Mailing Telephone | 3525270068 |
Mailing Fax Number | 3525278858 |
Enumeration Date | 2006-03-01 |
Last Update Date | 2007-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
ARNP9177967 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | NPI | 1801863600 | 01 |
FL | HEALTHEASE | 346057 | 01 |
FL | STAYWELL | 374143 | 01 |
FL | BCBS | Y104K | 01 |
FL | TRICARE | 5935028431021 | 01 |
Street Address |
3700 W SOVEREIGN PATH |
City | LECANTO |
State | FL |
Zip Code | 34461-8071 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164493664 | Florida Department of Health | Public Health or Welfare | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2006-02-01 |
1396282612 | Raquel Gonzalez | Dental Hygienist | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2017-01-24 |
1689116519 | Jennifer Ann Cruz | Nurse Practitioner | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2016-11-09 |
1326421199 | Cindy Michelle Floyd | Nurse Practitioner | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2015-06-29 |
1407288087 | Karen Gidden | Dietitian, Registered | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2013-08-06 |
1245523059 | Citrus County Health Department | Community/Behavioral Health | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2011-05-26 |
1467694810 | Florida Department of Health Citrus County Health Department | Clinic/Center | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2009-04-01 |
1457544264 | Austin Primis | Family Medicine | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2007-08-24 |
1073722989 | Melissa S Heil | Dietitian, Registered | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2007-05-21 |
1871649251 | Carol W Burke | Nutritionist | 3700 W Sovereign Path, Lecanto, FL 34461-8071 | 2007-01-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
Find all providers in zip 34461 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
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1962043554 | Marcel Bernadette Nagel | Nurse Practitioner | 1523 Ashlee Branch Way, Saint Johns, FL 32259-1923 | 2019-10-04 |
1336798412 | Vicky Arlene Smith | Nurse Practitioner | 501 Pointe Allyson Way, Orlando, FL 32825-5973 | 2019-09-10 |
1003476011 | Angela Marie Bumpus | Nurse Practitioner | 9121 Lantern Oak Way, Land O Lakes, FL 34638-2607 | 2019-06-20 |
1396301230 | Mary Elizabeth Buie | Nurse Practitioner | 5457 Baldwin Park St, Orlando, FL 32814-6749 | 2019-05-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.