Healthcare Provider Details

I. General information

NPI: 1184861783
Provider Name (Legal Business Name): CLARA LUZ ZUROSKY MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2009
Last Update Date: 03/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S SEMORAN BLVD STE 150
ORLANDO FL
32807-3293
US

IV. Provider business mailing address

10501 MARSH COVE CT
ORLANDO FL
32825-8517
US

V. Phone/Fax

Practice location:
  • Phone: 407-208-1384
  • Fax: 407-208-1385
Mailing address:
  • Phone: 407-963-5059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA5325
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: