Zack, Donna

Zack, Donna is an sole proprietor health care provider with primary practice located at 13340 Metro Pkwy Ste 200 , Fort Myers FL 33966. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Zack, Donna can be contacted via phone (239) 343-0550.

Contact Information

Primary practice address
13340 Metro Pkwy Ste 200 Fort Myers FL 33966
Phone: (239) 343-0550
Fax: (239) 343-4013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN11002328 Florida
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X APRN11002328 Florida

Profile Details

NPI number 1568562544
LBN Legal business name Zack, Donna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Mar 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568562544 NPPES
Florida MEDICAID 102841200

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