Active NPI
Vonn Zabate
- Nurse Practitioner
- Lauderdale Lakes, FL
National Provider Identifier
1316608789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11015550
- Practice address
- 4850 W Oakland Park Blvd Ste 136
Lauderdale Lakes, FL 33313-7277 - Phone
- (844) 665-4827
- NPI assigned
- Jan 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11015550 | FL | Primary |
Addresses
Primary practice location
4850 W Oakland Park Blvd Ste 136
Lauderdale Lakes, FL 33313-7277
Mailing address
18275 NW 21St St
Pembroke Pines, FL 33029-3710
Phone (305) 336-7462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015550 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1316608789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18275 NW 21ST ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330293710",
"telephone_number": "305-336-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 W OAKLAND PARK BLVD STE 136",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137277",
"telephone_number": "844-665-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZABATE",
"first_name": "VONN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11015550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.