Healthcare Provider Details

I. General information

NPI: 1194629345
Provider Name (Legal Business Name): ZORVEXA MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 N 22ND ST # 8076
PHOENIX AZ
85016-4639
US

IV. Provider business mailing address

4539 N 22ND ST # 8076
PHOENIX AZ
85016-4639
US

V. Phone/Fax

Practice location:
  • Phone: 91-781-3619
  • Fax:
Mailing address:
  • Phone: 917-813-6191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MACKENZIE CARTER
Title or Position: CEO
Credential:
Phone: 917-813-6191