Healthcare Provider Details
I. General information
NPI: 1407972771
Provider Name (Legal Business Name): LUCINDA LEE ZUVIV MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/21/2007
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23315 BLUE WATER CIR
BOCA RATON FL
33433-7053
US
IV. Provider business mailing address
5418 NW 121ST AVE
CORAL SPRINGS FL
33076-3634
US
V. Phone/Fax
- Phone: 561-368-1033
- Fax: 561-955-9640
- Phone: 954-309-2573
- Fax: 561-955-9640
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SA 3086 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: