MS. CHELSEA SOPHIA ZACCARIO (NPI# 1154885010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154885010 |
| Entity Type | Individual |
| Full Name | MS. CHELSEA SOPHIA ZACCARIO |
| Other Name | CHELSEA SOPHIA ROSENBERG |
| Credential | PA-C |
| Practice Address |
1625 Se 3rd Ave # 300 Fort Lauderdale FL 33316-2521 |
| Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
| Practice Telephone | 9543554665 |
| Mailing Telephone | 9543554665 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
9111918 | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1625 SE 3RD AVE # 300 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598272726 | Elizabeth Vukelich Austin | Physician Assistant | 1625 Se 3rd Ave # 723, Fort Lauderdale, FL 33316-2521 | 2018-01-09 |
| 1265805386 | Sandra Lynn Freymuth | Physician Assistant | 6211 Nw 34th Ave, Fort Lauderdale, FL 33309-1602 | 2015-11-11 |
| 1073526513 | Toribio Castillo | Physician Assistant | 6550 North Federal Highway, Ste 512, Fort Lauderdale, FL 33308-1417 | 2006-08-14 |
| 1023017704 | Kathy Ann Zimmer | Physician Assistant | 6550 N Federal Hwy, Suite 512, Fort Lauderdale, FL 33308-1404 | 2005-07-15 |
| 1780247189 | Oceanside Elite Surgical Assisting, LLC | Physician Assistant | 3319 Ne 15th Ct, Fort Lauderdale, FL 33304-1709 | 2019-04-21 |
| 1306321781 | Marissa Ziegler | Physician Assistant | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2018-10-01 |
| 1205327749 | Priscila Marie Gamiotea | Physician Assistant | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2018-05-21 |
| 1518466333 | Andrew Michael Walters | Physician Assistant | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2018-02-07 |
| 1235589334 | Dock and Roll LLC | Physician Assistant | 6211 Nw 34th Ave, Fort Lauderdale, FL 33309-1602 | 2016-06-20 |
| 1104294099 | Andrea Burns | Physician Assistant | 1625 Se 3rd Ave, Suite 300, Fort Lauderdale, FL 33316-2521 | 2015-09-09 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on MS. CHELSEA SOPHIA ZACCARIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.