Healthcare Provider Details

I. General information

NPI: 1588280325
Provider Name (Legal Business Name): ZOE STEWART GRIFFIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 UNDERWOOD ST STE 300
ORLANDO FL
32806-1110
US

IV. Provider business mailing address

76 UNDERWOOD ST STE 300
ORLANDO FL
32806-1110
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-7550
  • Fax: 321-841-1569
Mailing address:
  • Phone: 321-841-7550
  • Fax: 321-841-1569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9375859
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number11008491
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11008491
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: