Healthcare Provider Details

I. General information

NPI: 1740583582
Provider Name (Legal Business Name): CHRISTINA MARIA ZAFIRIS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2010
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N 35TH AVE STE 525
HOLLYWOOD FL
33021-5431
US

IV. Provider business mailing address

2900 CORPORATE WAY STE D
MIRAMAR FL
33025-3925
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-6966
  • Fax: 954-265-6950
Mailing address:
  • Phone: 954-276-5644
  • Fax: 954-276-0668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY8610
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: