MEDICARE: ZURISADAY MAYAN SERUTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-24-344497	FL

General Provider Information

NPI Number	:	1700635372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZURISADAY MAYAN SERUTO

Provider Business Mailing Address
First Line	:	4010 CHIQUITA BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-5646
Country	:	US
Telephone Number	:	786-306-4675
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 CHIQUITA BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-5646
Country	:	US
Telephone Number	:	786-306-4675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	07/25/2025

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Directions to “ ZURISADAY MAYAN SERUTO ” Practice Location

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