Healthcare Provider Details

I. General information

NPI: 1225551880
Provider Name (Legal Business Name): JOANNE MARIE ZUELSDORF-SANTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CELEBRATION PL STE 200
CELEBRATION FL
34747-4970
US

IV. Provider business mailing address

400 CELEBRATION PL STE 200
CELEBRATION FL
34747-4970
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-4052
  • Fax: 407-303-4089
Mailing address:
  • Phone: 407-303-4052
  • Fax: 407-303-4089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT3895
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: