Healthcare Provider Details

I. General information

NPI: 1639823941
Provider Name (Legal Business Name): VICTORIA ZOLLO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2022
Last Update Date: 02/06/2022
Certification Date: 02/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8081 TURKEY LAKE RD STE 620
ORLANDO FL
32819-7389
US

IV. Provider business mailing address

13324 MAGNOLIA VALLEY DR
CLERMONT FL
34711-8622
US

V. Phone/Fax

Practice location:
  • Phone: 407-232-6837
  • Fax:
Mailing address:
  • Phone: 561-317-8789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11016418
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: