Healthcare Provider Details

I. General information

NPI: 1396200986
Provider Name (Legal Business Name): ZOHRA ROUZANI GERMOSO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2019
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 S DIXIE HWY STE 304
CORAL GABLES FL
33146-3159
US

IV. Provider business mailing address

1000 W WATERS AVE STE 4
TAMPA FL
33604-2828
US

V. Phone/Fax

Practice location:
  • Phone: 888-696-4322
  • Fax:
Mailing address:
  • Phone: 407-267-4490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11000959
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: