Provider Demographics
NPI:1265841274
Name:ECHEVERRIA, ZENIA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ZENIA
Middle Name:
Last Name:ECHEVERRIA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15710 BENT CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6318
Mailing Address - Country:US
Mailing Address - Phone:561-616-1001
Mailing Address - Fax:
Practice Address - Street 1:911 VILLAGE BLVD
Practice Address - Street 2:SUITE 807
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1938
Practice Address - Country:US
Practice Address - Phone:561-616-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9104266363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical