Provider Demographics
NPI:1982679510
Name:ZAPOR, EDWARD (PA)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:ZAPOR
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:601 5TH ST S
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4804
Mailing Address - Country:US
Mailing Address - Phone:727-767-6666
Mailing Address - Fax:727-767-8606
Practice Address - Street 1:601 5TH ST S
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4804
Practice Address - Country:US
Practice Address - Phone:727-767-6666
Practice Address - Fax:727-767-8606
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA1983363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL290079300Medicaid
FL290079300Medicaid
FLP00167885Medicare PIN
FLE2739YMedicare PIN