Provider Demographics
NPI:1881922250
Name:ZINGARO, EILEEN (LMT)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:
Last Name:ZINGARO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:EILEEN
Other - Middle Name:
Other - Last Name:ZINGARO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:1949 PROMENADE WAY
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-1735
Mailing Address - Country:US
Mailing Address - Phone:727-793-4173
Mailing Address - Fax:
Practice Address - Street 1:9801 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-2555
Practice Address - Country:US
Practice Address - Phone:727-397-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA56891174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist