Healthcare Provider Details

I. General information

NPI: 1740003961
Provider Name (Legal Business Name): ZUZEL GOMEZ DE CEDRON CASTRO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 N KENDALL DR STE 306W
MIAMI FL
33176-2132
US

IV. Provider business mailing address

11881 SW 35TH TER
MIAMI FL
33175-3103
US

V. Phone/Fax

Practice location:
  • Phone: 305-596-9966
  • Fax: 305-596-5752
Mailing address:
  • Phone: 786-427-9617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11036352
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: