Healthcare Provider Details

I. General information

NPI: 1093784654
Provider Name (Legal Business Name): JENNIFER L ZERINGUE MPH, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON RD
MIAMI BEACH FL
33140-2800
US

IV. Provider business mailing address

2430 NE 135TH ST APT 303
NORTH MIAMI FL
33181-3596
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-2262
  • Fax:
Mailing address:
  • Phone: 504-905-6399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1907
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: