Active NPI
Milk Wagon
- Lactation Consultant (Registered Nurse)
- Lutz, FL
National Provider Identifier
1659093433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- Legal business name
- MILK WAGON
- Practice address
- 17541 N Dale Mabry Hwy
Lutz, FL 33548-4521 - Phone
- (954) 778-3755
- NPI assigned
- Sep 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony V Zanaglio
- Title
- Managing Member
- Phone
- (954) 778-3755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | Primary |
Addresses
Primary practice location
17541 N Dale Mabry Hwy
Lutz, FL 33548-4521
Mailing address
247 Barbados Dr
Ponte Vedra, FL 32081-1509
Phone (954) 778-3755
Other practice location 1
247 Barbados Dr
Ponte Vedra, FL 32081-1509
Phone (954) 778-3755
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686096000000",
"number": "1659093433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 BARBADOS DR",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320811509",
"telephone_number": "954-778-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17541 N DALE MABRY HWY",
"city": "LUTZ",
"state": "FL",
"postal_code": "335484521",
"telephone_number": "954-778-3755"
}
],
"practiceLocations": [
{
"address_1": "247 Barbados Dr",
"address_purpose": "LOCATION",
"city": "Ponte Vedra",
"state": "FL",
"postal_code": "320811509",
"country_code": "US",
"telephone_number": "954-778-3755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MILK WAGON",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-19",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "ZANAGLIO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "954-778-3755"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.