Healthcare Provider Details

I. General information

NPI: 1093686990
Provider Name (Legal Business Name): HEY NOURI MEDICAL SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2332 GALIANO ST FL 2
CORAL GABLES FL
33134-5402
US

IV. Provider business mailing address

2332 GALIANO ST FL 2
CORAL GABLES FL
33134-5402
US

V. Phone/Fax

Practice location:
  • Phone: 646-305-7386
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2080B0002X
TaxonomyPediatric Obesity Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCA ZIERVOGEL
Title or Position: CHIEF ADMIN
Credential:
Phone: 646-305-7386