Healthcare Provider Details

I. General information

NPI: 1194676288
Provider Name (Legal Business Name): ZELENE HARDING RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARTHA ZELENE HARDING RNFA

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 NW 3RD CT
PLANTATION FL
33317-2857
US

IV. Provider business mailing address

382 NE 191ST ST
MIAMI FL
33179-3899
US

V. Phone/Fax

Practice location:
  • Phone: 954-551-4508
  • Fax:
Mailing address:
  • Phone: 954-654-8721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9535164
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number9535164
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: