MEDICARE: N-ZPIRE HEALTH, LLC

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	171W00000X	Contractor

General Provider Information

NPI Number	:	1861742272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N-ZPIRE HEALTH, LLC

Provider Business Mailing Address
First Line	:	1326 MALABAR RD SE
Second Line	:	SUITE 3
City	:	PALM BAY
State	:	FL
Zip	:	32907-2502
Country	:	US
Telephone Number	:	321-725-2207
Fax Number	:	321-725-2406

Provider Business Practice Location Address
First Line	:	1326 MALABAR RD SE
Second Line	:	SUITE 3
City	:	PALM BAY
State	:	FL
Zip	:	32907-2502
Country	:	US
Telephone Number	:	321-725-2207
Fax Number	:	321-725-2406

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. NYDIA ESTHER JIMENEZ
Credential	:
Telephone Number	:	321-725-2207

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	09/12/2012

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