Individual
ATHENA VANZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6141 SUNSET DR STE 403, SOUTH MIAMI, FL 33143-5026
(305) 665-2300
(305) 669-8966
Mailing address
6141 SUNSET DR STE 403, SOUTH MIAMI, FL 33143-5026
(305) 665-2300
(305) 669-8966
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
PA9102679
FL
363AM0700X
Medical Physician Assistant
PA9102679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346256
AVMED
FL
01
—
IB768Z
MEDICARE
FL
01
—
U0060
BCBS
—
Enumeration date
03/22/2007
Last updated
02/06/2024
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