Healthcare Provider Details
I. General information
NPI: 1720871189
Provider Name (Legal Business Name): ZUNIMED FAMILY & WELLNESS CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2572 W STATE ROAD 426 STE 3048
OVIEDO FL
32765-8314
US
IV. Provider business mailing address
1794 PASTURE LOOP
OVIEDO FL
32765-5102
US
V. Phone/Fax
- Phone: 407-378-7474
- Fax: 407-698-4985
- Phone: 407-693-7276
- Fax: 407-698-4985
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROCIO
ZUNIGA
Title or Position: PRESIDENT
Credential: MD
Phone: 407-693-7276