Provider Demographics
NPI:1144247065
Name:ZAMPOGNA, ANTONINO GIOVANNI (MD)
Entity type:Individual
Prefix:DR
First Name:ANTONINO
Middle Name:GIOVANNI
Last Name:ZAMPOGNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANTONINO
Other - Middle Name:GIOVANNI
Other - Last Name:ZAMPOGNS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1350 TAMIAMI TRL N STE 205
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5203
Mailing Address - Country:US
Mailing Address - Phone:239-263-1910
Mailing Address - Fax:239-263-5424
Practice Address - Street 1:1350 TAMIAMI TRL N STE 205
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5203
Practice Address - Country:US
Practice Address - Phone:239-263-1910
Practice Address - Fax:239-263-5424
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME34229207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11110Medicare ID - Type Unspecified