Provider Demographics
NPI:1639969744
Name:ZAPPAS, KRISTIE (PHARMD)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:
Last Name:ZAPPAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KRISTIE
Other - Middle Name:ELAINE
Other - Last Name:KOTLARZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:10659 BONNE CHANCE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5143
Mailing Address - Country:US
Mailing Address - Phone:407-284-7798
Mailing Address - Fax:
Practice Address - Street 1:10659 BONNE CHANCE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-5143
Practice Address - Country:US
Practice Address - Phone:407-284-7798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43878183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist