Healthcare Provider Details

I. General information

NPI: 1679246847
Provider Name (Legal Business Name): ASHLEY MORGAN ZOOK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 ROYAL PALM WAY UNIT 403
BOCA RATON FL
33432-8718
US

IV. Provider business mailing address

9 ROYAL PALM WAY UNIT 403
BOCA RATON FL
33432-8718
US

V. Phone/Fax

Practice location:
  • Phone: 561-213-2659
  • Fax:
Mailing address:
  • Phone: 561-213-2659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW18632
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: