Healthcare Provider Details

I. General information

NPI: 1083985881
Provider Name (Legal Business Name): CYNTHIA JO ZURFLUH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2012
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 WINDING OAK LN
LONGWOOD FL
32750-3214
US

IV. Provider business mailing address

436 WINDING OAK LN
LONGWOOD FL
32750-3214
US

V. Phone/Fax

Practice location:
  • Phone: 407-968-5712
  • Fax:
Mailing address:
  • Phone: 407-968-5712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: