Provider Demographics
NPI:1902360837
Name:ZAPATA, YULIANA
Entity Type:Individual
Prefix:
First Name:YULIANA
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HEALTH PARK BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5797
Mailing Address - Country:US
Mailing Address - Phone:904-819-4040
Mailing Address - Fax:904-819-4041
Practice Address - Street 1:201 HEALTH PARK BLVD STE 212
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5797
Practice Address - Country:US
Practice Address - Phone:904-819-4040
Practice Address - Fax:904-819-4041
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-24
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW157311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical