Provider Demographics
NPI:1083140743
Name:ZAMPARELLI, JAVIER ALEJANDRO (LMT)
Entity Type:Individual
Prefix:
First Name:JAVIER
Middle Name:ALEJANDRO
Last Name:ZAMPARELLI
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 1:3813 SW 34TH ST
Mailing Address - Street 2:APT E47
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1456
Mailing Address - Country:US
Mailing Address - Phone:305-546-9980
Mailing Address - Fax:
Practice Address - Street 1:4909 NW 27TH CT
Practice Address - Street 2:B
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6509
Practice Address - Country:US
Practice Address - Phone:305-546-9980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86040225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist