| Doctor Name: | MICHELLE ANNE ZAGER |
| NPI Number: | 1457475535 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 9251549 |
| Business Practice Address: | 1680 Eagle Harbor Pkwy Suite A Fleming Island, FL - 320034821 |
| Business Phone Number: | 9042649555 |
| Business Fax Number: | 9042157960 |
| Mailing Address: | Po Box 16568, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322456568 |
| Phone Number: | 9044722300 |
| Fax Number: | 9044722330 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 11/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9251549 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |