Healthcare Provider Details
I. General information
NPI: 1538820253
Provider Name (Legal Business Name): ETIANY ELOI ZUFI
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/05/2022
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7100 CAMINO REAL STE 203
BOCA RATON FL
33433-5510
US
IV. Provider business mailing address
7100 CAMINO REAL STE 203
BOCA RATON FL
33433-5510
US
V. Phone/Fax
- Phone: 561-678-3493
- Fax:
- Phone: 561-997-4185
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SA24185 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2355S0801X |
| Taxonomy | Speech-Language Assistant |
| License Number | SI4724 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: