Healthcare Provider Details

I. General information

NPI: 1730928102
Provider Name (Legal Business Name): ZURI HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4338 QUEEN ELIZABETH WAY
NAPLES FL
34119-9572
US

IV. Provider business mailing address

4338 QUEEN ELIZABETH WAY
NAPLES FL
34119-9572
US

V. Phone/Fax

Practice location:
  • Phone: 508-615-1499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VALLERIE CHALIFOUX
Title or Position: APRN
Credential:
Phone: 508-615-1499