Provider Demographics
NPI:1033516596
Name:ZAKES, CAROLINA (AP)
Entity Type:Individual
Prefix:DR
First Name:CAROLINA
Middle Name:
Last Name:ZAKES
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:CAROLINA
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2901 BAHAMA DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4745
Mailing Address - Country:US
Mailing Address - Phone:786-344-8878
Mailing Address - Fax:
Practice Address - Street 1:8551 W SUNRISE BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4007
Practice Address - Country:US
Practice Address - Phone:786-344-8878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-28
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3524171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist