Provider Demographics
NPI:1366727570
Name:ZIPETO, TERESA ANN (ARNP)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:ANN
Last Name:ZIPETO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:TERESA
Other - Middle Name:ANN
Other - Last Name:AUSTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:6101 BLUE LAGOON DR
Mailing Address - Street 2:STE 400
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2051
Mailing Address - Country:US
Mailing Address - Phone:305-500-2027
Mailing Address - Fax:305-500-2155
Practice Address - Street 1:3854 BRITTON PLZ
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-1406
Practice Address - Country:US
Practice Address - Phone:813-837-2814
Practice Address - Fax:866-853-2860
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9190674363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004470900Medicaid
FL004470900Medicaid