Provider Demographics
NPI:1568948529
Name:HOYT, ZARA AMANDA (AP)
Entity Type:Individual
Prefix:
First Name:ZARA
Middle Name:AMANDA
Last Name:HOYT
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 SW 87TH AVE APT 806
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-6623
Mailing Address - Country:US
Mailing Address - Phone:954-296-1169
Mailing Address - Fax:
Practice Address - Street 1:3201 GRIFFIN RD STE 104
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6900
Practice Address - Country:US
Practice Address - Phone:954-488-3008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3915171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty