Healthcare Provider Details

I. General information

NPI: 1912848037
Provider Name (Legal Business Name): MICHELLE ZIGAROVICH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 BISCAYNE BLVD STE 204
MIAMI FL
33137-5029
US

IV. Provider business mailing address

2125 BISCAYNE BLVD STE 204
MIAMI FL
33137-5029
US

V. Phone/Fax

Practice location:
  • Phone: 561-206-4366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW138856
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: