Healthcare Provider Details

I. General information

NPI: 1831838002
Provider Name (Legal Business Name): ELIANA ZUNIGA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2022
Last Update Date: 06/03/2022
Certification Date: 06/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9999 NE 2ND AVE
MIAMI SHORES FL
33138-2352
US

IV. Provider business mailing address

9999 NE 2ND AVE
MIAMI SHORES FL
33138-2352
US

V. Phone/Fax

Practice location:
  • Phone: 305-898-0561
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11020051
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: