Healthcare Provider Details

I. General information

NPI: 1063612232
Provider Name (Legal Business Name): STEPHANIE ZUARO MS, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 07/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 FLORIDA AVE S
ROCKLEDGE FL
32955-2423
US

IV. Provider business mailing address

1600 WOODLAND DR #8207
ROCKLEDGE FL
32955-2504
US

V. Phone/Fax

Practice location:
  • Phone: 321-693-3030
  • Fax:
Mailing address:
  • Phone: 312-693-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number43814
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: